maxillofacial trauma micro ob chav Y phaj

Cov yam ntxwv ntawm maxillofacial trauma

1. Cov ntshav khiav ntau: muaj los ntshav ntau dua tom qab raug mob, uas yooj yim rau kev tsim hematoma; cov ntaub so ntswg edema cov tshuaj tiv thaiv yog ceev thiab hnyav, xws li lub qhov ncauj hauv paus, tus nplaig hauv paus, sab puab tsaig thiab lwm qhov chaw ntawm qhov raug mob, vim yog edema, hematoma raug tsim txom thiab cuam tshuam rau txoj hlab pa du, thiab txawm ua rau suffocation.Ntawm qhov tod tes, cov ntaub so ntswg muaj peev xwm tiv taus cov kab mob thiab cov kab mob muaj zog. yooj yim kho.

2. Maxillofacial raug mob feem ntau nrog cov hniav raug mob: cov hniav tawg kuj tuaj yeem txaws rau hauv cov ntaub so ntswg uas nyob ib sab, ua rau "sib cais shrapnel raug mob", thiab tuaj yeem txuas rau cov hniav pob zeb thiab cov kab mob mus rau hauv cov ntaub so ntswg sib sib zog nqus, ua rau qhov rais kab mob.Caries ntawm lub puab tsaig pob txha kab tuaj yeem qee zaum ua rau kis kab mob ntawm qhov kawg ntawm cov pob txha ntawm tes, thiab lwm yam kev puas tsuaj ntawm tes. los yog dislocation ntawm occlusal kev sib raug zoo yog ib qho ntawm cov cim tseem ceeb tshaj plaws nyob rau hauv kev kuaj mob ntawm lub puab tsaig tawg.Nyob rau hauv kev kho mob ntawm cov hniav thiab alveolar pob txha los yog lub puab tsaig tawg, feem ntau yuav tsum tau siv cov hniav los yog dentition raws li lub abutment ligation tsau, yog ib qho tseem ceeb lub hauv paus ntawm lub puab tsaig traction fixation.

3. Nws yog ib qho yooj yim uas yuav nyuaj rau craniocerebral raug mob: nrog rau concussion, hlwb contusion, intracranial hematoma thiab pob txha taub hau pob txha taub hau, thiab lwm yam., thiab nws lub ntsiab kev kho mob feature yog coma keeb kwm tom qab raug mob.Fractures ntawm pob txha taub hau puag tej zaum yuav nrog los ntawm outflow ntawm cerebrospinal kua los yog lwm yam cerebrospinal kua.

4. Qee lub sij hawm nrog lub caj dab raug mob: nyob rau hauv lub maxillofacial thiab caj dab, qhov twg cov hlab ntsha loj thiab lub ncauj tsev menyuam nqaj qaum yog.Mandible raug mob yog ib qho yooj yim yuav nyuaj rau lub caj dab raug mob, yuav tsum tau them nyiaj rau seb puas muaj caj dab hematoma, cervical spine raug mob los yog siab paraplegia.Carotid aneurysms, pseudoaneurys nyob rau hauv cov ntaub so ntswg. theem thaum cov hlab ntsha loj ntawm lub caj dab raug mob los ntawm blunt quab yuam nyob rau hauv lub caj dab.

5. Ib qho yooj yim tshwm sim asphyxia: kev raug mob tuaj yeem yog vim cov ntaub so ntswg hloov chaw, qhov o thiab tus nplaig poob, cov ntshav txhaws thiab cov zais zis txhaws thiab cuam tshuam rau kev ua pa lossis asphyxia.

6. Kev noj zaub mov tsis zoo thiab kev tu lub qhov ncauj: qhov ncauj qhib, zom, hais lus lossis nqos yuav raug cuam tshuam tom qab raug mob lossis thaum lub puab tsaig traction yuav tsum tau kho, uas yuav cuam tshuam rau kev noj zaub mov zoo.

7. Yooj yim rau kev kis kab mob: qhov ncauj thiab maxillofacial sinus kab noj hniav, muaj qhov ncauj kab noj hniav, qhov ntswg kab noj hniav, qhov ntswg thiab orbit, thiab lwm yam.Qhov muaj cov kab mob loj hauv cov kab noj hniav no, yog tias tib yam li lub qhov txhab, nws yuav kis tau tus kab mob.

8. tuaj yeem nrog rau lwm yam kev raug mob ntawm lub cev: kev faib cov qog qaub ncaug, cov hlab ntsha ntawm lub ntsej muag thiab cov hlab ntsha trigeminal nyob rau hauv lub qhov ncauj thiab maxillofacial cheeb tsam, xws li parotid caj pas puas, tuaj yeem ua rau salivary fistula; Yog tias raug mob ntawm lub ntsej muag paj hlwb, tuaj yeem ua rau lub ntsej muag tuag tes tuag taw; Thaum lub trigeminal raug mob hauv cheeb tsam corres.

9. Lub ntsej muag deformity: Tom qab maxillofacial raug mob, feem ntau muaj ntau yam sib txawv ntawm lub ntsej muag deformity, uas ua rau lub siab thiab lub siab lub ntsws hnyav ntawm cov neeg raug mob.