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统计、归纳、分析了114例颌面颈部火器伤临床资料,通过对火器伤的伤因、伤道及骨折情况分析,总结枪弹伤的特点,重点讨论颌面颈部火器伤的治疗原则。由于枪弹伤时,受伤距离不同,投射物的类型、质量、撞击速度各有差异、以及受伤部位的解剖结构不同,造成的损伤各异、伤情复杂。其基本特点是:1、多发伤多,伤情不均一;2、由于多种因素造成盲管伤发生率高,伤道曲折:3、爆炸伤污染严重,感染率高,组织缺损多。根据以上火器伤特点,在临床救治中总结出相应的治疗原则。
Summarized the clinical data of 114 cases of maxillofacial and neck firearm injuries, analyzed the causes of firearm injuries, wounds and fractures, summed up the characteristics of bullet wounds, and focused on the treatment principle of maxillofacial and neck firearm injuries. Due to the different range of injuries caused by bullets, the type, quality and impact velocity of the projectiles are different, and the anatomical structure of the injured parts are different, resulting in different injuries and complex injuries. Its basic features are: 1, multiple injuries, injuries are not uniform; 2, due to a variety of factors leading to a high incidence of blind pipe injury, tortuous road: 3, blast injury serious pollution, high infection rate, tissue defects and more. According to the above characteristics of firearm injuries, summed up the corresponding treatment principles in clinical treatment.