辽宁医学院学报
遼寧醫學院學報
료녕의학원학보
JOURNAL OF LIAONING MEDICAL UNIVERSITY
2014年
2期
76-77
,共2页
颌面外伤%窒息%护理
頜麵外傷%窒息%護理
합면외상%질식%호리
maxillofacial trauma%asphyxia%nursing
目的：总结我院20例因为口腔颌面部外伤入院的患者发生窒息时的急救配合以及护理干预。方法对2011年全年，本院成功抢救的20例颌面部外伤并发窒息的患者急救配合和护理干预进行分析。结果由于口腔颌面部位置突出，受伤的机会相对较大，颌面部结构复杂，颌面诸骨中腔窦较多，血供丰富。呼吸道、消化道的开口均分布于此，又紧邻颅脑，故当颌面部受伤时，很容易出现骨组织受肌肉牵拉而移位，阻塞呼吸道，若口、鼻中血凝块等污物不及时清除也会影响呼吸道通.，危及生命。结论对颌面部外伤的患者，及时评估伤情及呼吸道情况，据不同类型的窒息采取相应的治疗措施。准确安放患者体位，确保呼吸道通.，可及时解除窒息，并做好原发损伤急救的配合，明显提高颌面外伤发生窒息患者的生存率，减少并发症，促进愈合。
目的：總結我院20例因為口腔頜麵部外傷入院的患者髮生窒息時的急救配閤以及護理榦預。方法對2011年全年，本院成功搶救的20例頜麵部外傷併髮窒息的患者急救配閤和護理榦預進行分析。結果由于口腔頜麵部位置突齣，受傷的機會相對較大，頜麵部結構複雜，頜麵諸骨中腔竇較多，血供豐富。呼吸道、消化道的開口均分佈于此，又緊鄰顱腦，故噹頜麵部受傷時，很容易齣現骨組織受肌肉牽拉而移位，阻塞呼吸道，若口、鼻中血凝塊等汙物不及時清除也會影響呼吸道通.，危及生命。結論對頜麵部外傷的患者，及時評估傷情及呼吸道情況，據不同類型的窒息採取相應的治療措施。準確安放患者體位，確保呼吸道通.，可及時解除窒息，併做好原髮損傷急救的配閤，明顯提高頜麵外傷髮生窒息患者的生存率，減少併髮癥，促進愈閤。
목적：총결아원20례인위구강합면부외상입원적환자발생질식시적급구배합이급호리간예。방법대2011년전년，본원성공창구적20례합면부외상병발질식적환자급구배합화호리간예진행분석。결과유우구강합면부위치돌출，수상적궤회상대교대，합면부결구복잡，합면제골중강두교다，혈공봉부。호흡도、소화도적개구균분포우차，우긴린로뇌，고당합면부수상시，흔용역출현골조직수기육견랍이이위，조새호흡도，약구、비중혈응괴등오물불급시청제야회영향호흡도통.，위급생명。결론대합면부외상적환자，급시평고상정급호흡도정황，거불동류형적질식채취상응적치료조시。준학안방환자체위，학보호흡도통.，가급시해제질식，병주호원발손상급구적배합，명현제고합면외상발생질식환자적생존솔，감소병발증，촉진유합。
Objective To summarize the first aid and nursing intervention of 20 cases of patients with asphyxia caused by oral and maxillofacial trauma in our hospital.Methods In 2011, the first aid and nursing intervention of the 20 successfully rescued cases with asphyxia caused by oral and maxillofacial trauma in our hospital were analyzed.Results Because of the prominent location of o-ral and maxillofacial region, the chance of injury is relatively large.The maxillofacial structure is complex, with more cavity sinus in the maxillofacial bones, and the bone blood supply is rich.The openings of the respiratory tract and digestive tract are distributed in the region, which is adjacent to the head.Therefore, when the maxillofacial is injured, bone tissue displacement occurs easily by muscle stretch, which causes the obstruction of respiratory tract.If the oral and nasal blood clots can not be cleaned timely, the respiratory tract will also be affected, which is life-threatening.Conclusion For patients with maxillofacial trauma, the timely assessment of se-verity and respiratory condition is necessary, and corresponding treatment according to different types of asphyxia should be taken.Pa-tients should be placed accurately to ensure that the respiratory tract is unobstructed, which can relieve asphyxia timely.First aid of primary damage should be made, which can improve the survival rate of the patients with asphyxia caused by oral and maxillofacial trauma, reduce complications and promote healing.
