maxillofacial trauma micro ob chav Y phaj

Cov yam ntxwv ntawm maxillofacial trauma

1. Muaj cov ntshav ncig: 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 sai thiab hnyav, xws li lub qhov ncauj hauv paus, tus nplaig hauv qab, lub puab tsaig thiab lwm qhov chaw ntawm qhov raug mob, vim yog edema, hematoma kev tsim txom thiab cuam tshuam rau txoj hlab pas du, thiab txawm ua rau suffocation.Ntawm qhov tod tes, vim muaj cov ntshav txaus, cov ntaub so ntswg muaj zog tiv thaiv kab mob thiab rov tsim dua tshiab, thiab lub qhov txhab kho tau yooj yim.

2. Kev raug mob maxillofacial 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 lub qhov rais kab mob.Caries ntawm txoj kab ntawm lub puab tsaig tuaj yeem ua rau qee zaum ua rau muaj kab mob ntawm qhov kawg ntawm cov pob txha thiab cuam tshuam rau kev kho ntawm cov pob txha. Ntawm qhov tod tes, kev hloov kho hniav los yog dislocation ntawm occlusal kev sib raug zoo yog ib qho tseem ceeb tshaj plaws hauv kev kuaj mob ntawm lub puab tsaig. .Nyob rau hauv kev kho cov hniav thiab cov pob txha alveolar los yog lub puab tsaig tawg, feem ntau yuav tsum tau siv cov hniav los yog cov hniav raws li lub abutment ligation tsau, yog ib qho tseem ceeb ntawm lub puab tsaig traction fixation.

3. Nws yog ib qho yooj yim uas yuav nyuaj rau craniocerebral raug mob: nrog rau concussion, lub hlwb contusion, intracranial hematoma thiab pob txha taub hau pob txha, 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 outflow ntawm cerebrospinal kua los ntawm lub qhov ntswg los yog sab nraud auditory kwj dej.

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, saib xyuas yuav tsum tau them rau seb puas muaj caj dab hematoma, lub ncauj tsev menyuam nqaj qaum raug mob los yog siab paraplegia.Carotid aneurysms, pseudoaneurysms thiab arteriovenous fistulas tej zaum yuav tsim nyob rau hauv lub lig 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, sinus thiab orbit, thiab lwm yam.Qhov muaj cov kab mob loj hauv cov kab noj hniav no, yog tias tib yam li 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 cov hlab ntsha trigeminal raug mob, loog loog yuav tshwm sim nyob rau hauv qhov chaw faib khoom.

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.