摘要
目的探讨信息化多学科协作模式临床救治严重颅颌面伤。方法分析42例严重颅颌面伤临床资料,回顾性分析伤情特点和应用信息化多学科协作模式的诊断和治疗效果。结果本组头部CT扫描显示额颞叶挫裂伤32例,其中伴脑内血肿10例,硬膜下血肿6例,硬膜外血肿3例;上颌骨骨折23例,其中Le FortⅠ型5例,Le FortⅡ型8例,Le FortⅢ型10例;下颌骨骨折12例。本组恢复良好20例(47.6%),中残14例(33.3%),重残2例(4.8%),植物状态生存1例(2.4%),死亡5例(11.9%)。患者恢复原有咬合关系,无明显颌面畸型者31例(83.8%)。结论严重颅颌面伤患者伤情复杂,面部畸形和功能障碍的发生率高,应针对具体伤情采用信息化多学科协作模式救治。
Objective To investigate the hospital informatization and multidisciplinary team treatment for patients with severe craniofacial wounds. Methods To analysis the clinical data of 42 patients with severe craniofacial wounds retrospectively,including the charateristics of the injury and the diagnosis and treatment efficacy of the hospital informatization and multidisciplinary team. Results To diagnose the 42 patients by CT scan,32 cases were frontotemporal contusions,accompanying with 10 cases of cerebral hematoma,6 cases of subdural hematom and 3 cases of epidural hematoma. Maxillary fracture developed in 23 patients,including 5 cases of type Le Fort Ⅰ,8 cases of type Le Fort Ⅱ and 10 cases of type Le Fort Ⅲ.Mandibular fracture was found in 12 patients. 20 cases(47. 6%) had a good recovery,while 14 cases(33. 3%) exhibited moderate disability,2 cases(4. 8%)exhibited severe disability,1 case(2. 4%) exhibited vegetative state and 5 cases(11.9%)had been dead. 31 patients(83. 8%)remarkably obtained cosmetic appearances and normal mastication function. Conclusion Patients with severe craniofacial wounds have a high rate of facial deformities and oral dysfunction because of the special pathlogical anatomy and injury charateristics. The hospital informatization and multidisciplinary team treatment is effective for severe craniofacial wounds.
出处
《创伤与急危重病医学》
2014年第4期234-236,共3页
Trauma and Critical Care Medicine
关键词
颅颌面伤
医院信息系统
多学科工作团队
craniofacial wounds
hospital information system
multidisciplinary team