山东大学耳鼻喉眼学报 ›› 2014, Vol. 28 ›› Issue (1): 59-61.doi: 10.6040/j.issn.1673-3770.0.2013.195

• 论著 • 上一篇    下一篇

耳鼻喉颌面伤合并颅脑损伤500例

郑立友1,李学军2   

  1. 1.莱芜市中医医院耳鼻咽喉科; 2.莱芜市人民医院ICU, 山东 莱芜  271100
  • 收稿日期:2013-06-28 出版日期:2014-02-16 发布日期:2014-02-16
  • 通讯作者: 李学军。 E-mail:songge369369@163.com
  • 作者简介:郑立友。 E-mail:lwzhengliyou@126.com

Cranio-maxillofacial trauma (500 cases report)

ZHENG Li-you1, LI Xue-jun2   

  1. 1. Department of ENT, Laiwu Traditional Chinese Medical Hospital, Laiwu 271100, Shandong, China; 2. ICU Department,  People′s  Hospital of  Laiwu,  Laiwu 271100, Shandong, China
  • Received:2013-06-28 Online:2014-02-16 Published:2014-02-16

摘要:

目的  明确耳鼻喉颌面伤合并颅脑损伤患者群体的性别差异、年龄分布、主要致伤原因,探讨二者伤情之间的关系,统计颅脑损伤情况与伤情判断、治疗的方法和效果。方法  总结1265例耳鼻喉颌面损伤合并有颅脑损伤患者500例(39.60%)的病历资料,回顾性分析并加以统计学研究。结果  1265例中耳鼻喉颌面损伤部位在鼻听线平面及以上者388例(30.67%),损伤部位在鼻听线平面以下者112例(8.85%),鼻听线上下两部位损伤合并颅脑损伤发生率差异有统计学意义(P<0.01);耳鼻喉颌面伤合并颅脑损伤500例中,男女比例4.1∶1;高峰年龄为20~49岁间计392例(78.40%);交通事故居致伤原因首位239例(47.80%);脑震荡、脑挫裂伤、颅内血肿分别占59.40%、11.80%、6.20%;按GCS伤情评分,轻型88.40%;按GOS预后评分,良好95.4%。结论  耳鼻喉颌面损伤合并颅脑损伤是现代创伤中常见复合伤,男性多于女性,发病患者群以青壮年为主,交通事故为致病主要原因,鼻听线对诊断有参考价值,患者损伤程度比较轻,只要及时诊断,正确救治,治疗效果好,致残率、死亡率低。

关键词: 颌面部, 颅脑损伤, 耳鼻喉, 创伤和损伤

Abstract:

Objective   To investigate the demographic, causes and clinical characteristics of cranio-maxillofacial trauma (CMT) to determine the appropriate treatment. Methods   Among 1265 cases of ENT and/or maxillofacial injury, clinical data of 500 patients accompanied with brain injury were reviewed. Results   In 1256 cases, injuries located at or above the nasal-acoustic line in 388 cases(30.67%) but under the plane in 112 (8.85%). The incidence of brain injury was significantly associated with this plane(P<0.01). In 500 CMT cases, the male to female ratio was 4.1  to 1, with the common ages ranging from 20 to 49. The leading cause of trauma was traffic accident(47.80%). As for brain injury, there were 59.40% concussion, 11.80% brain contusion, and 6.20% intracranial hematoma. According to GCS scoring system, 88.40% belonged to mild injuries and according to GOS prognostic score, and 95.4% recovered well. Conclusion   Male is prone to CMT than females, esp. for young adults. The main reason is traffic accident. The nasal-acoustic line is helpful for the diagnosis. With correct and effective treatment, the death toll will be minimal.

Key words: Maxillofacial,  Ear-nose-throat, Brain injury, Trauma

中图分类号: 

  • R782
[1] 郭颖媛,张德军,管国芳,文连姬,张辉,于多娇,马帅帅. 3D打印技术在耳鼻喉科住院医师规范化培训中的应用探索[J]. 山东大学耳鼻喉眼学报, 2017, 31(3): 119-122.
[2] 毕致,肖锋,朱鹃芬. 侧开式喉镜下喉动力系统切除会厌囊肿46例[J]. 山东大学耳鼻喉眼学报, 2016, 30(3): 111-112.
[3] 陈秀梅,宋西成. 颈部坏死性筋膜炎7例并文献复习[J]. 山东大学耳鼻喉眼学报, 2016, 30(3): 65-67.
[4] 陈艳丽, 朱忠寿, 宋鹏. 电子喉镜下吸凝器切除会厌囊肿37例[J]. 山东大学耳鼻喉眼学报, 2015, 29(5): 92-93.
[5] 林均武, 李厚杰, 渠倩, 陈坤. 咽侧间隙巨大骨外骨瘤1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2015, 29(5): 96-96.
[6] 李丹凤, 陈福权, 石力, 陈俊. 阶梯式多模式融合教学法在耳鼻喉科本科临床教学中的应用[J]. 山东大学耳鼻喉眼学报, 2015, 29(4): 77-79.
[7] 王保鑫, 董频, 谢芳, 丁健, 沈斌. 手术治疗颈部神经鞘瘤46例[J]. 山东大学耳鼻喉眼学报, 2014, 28(4): 65-66.
[8] 胡金成, 卢永田. 腭鞘管、翼管与岩骨段颈内动脉的内镜手术应用解剖与进展[J]. 山东大学耳鼻喉眼学报, 2014, 28(4): 100-104.
[9] 孙臻峰,张佳,沈斌,张柏涛,董频. 颈动脉体瘤诊断与处理[J]. 山东大学耳鼻喉眼学报, 2014, 28(2): 62-64.
[10] 杨嵘1,宗涛1,付珍霞2,孙亚男1,陆金发1. 腺样体肥大对不同年龄段儿童牙颌面部发育的影响[J]. 山东大学耳鼻喉眼学报, 2013, 27(5): 52-54.
[11] 何发尧,王跃建,陈伟雄,曾勇,朱肇峰,张剑利,汤苏成. 喉气管腺样囊性癌10例临床分析[J]. 山东大学耳鼻喉眼学报, 2013, 27(3): 16-18.
[12] 郑炯,单颖军. 鼻腔鼻窦恶性黑色素瘤11例临床分析[J]. 山东大学耳鼻喉眼学报, 2012, 26(3): 37-39.
[13] 张磊,蔡晓岚,李学忠. 耳鼻喉科临床医师对阻塞性睡眠呼吸暂停低通气综合征的认知度调查[J]. 山东大学耳鼻喉眼学报, 2012, 26(2): 9-14.
[14] 叶犇1综述, 朱春生2审校. 骨髓间充质干细胞在耳鼻喉头颈外科的应用[J]. 山东大学耳鼻喉眼学报, 2011, 25(2): 77-81.
[15] 袁渊,肖大江. 钬激光在鼻内翻性乳头状瘤手术中的应用[J]. 山东大学耳鼻喉眼学报, 2010, 24(6): 41-42.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!