口腔颌面部毁伤[精华].ppt

口腔颌面部损伤;Vocabulary;Vocabulary;Vocabulary;Vocabulary;Vocabulary;Definition of trauma;Section 1 Introduction;24万;Traffic Accident; Combined injury to other viscera -Fatal to life Damage to maxillofacial structure Stomatognathic dysfunction Facial esthetic problem Psychological trauma;1. Rich blood supply;Debridement Time: 24 – 48 h; Cerebral concussion Cerebral contusion Intracranial hematoma Skull base fracture ;Mouth opening, mastication, swallowing;7. Multi-sinus - contamination;8. Damage to specific structure;9. Facial Defect;Evaluate trauma soon Identify the key trauma, manage the fatal first Careful history taking, thorough physical exam Rescue in time Management in order;1. Prevention of Asphyxia;Dysphoria, sweating, inhaling respiration Difficult to inhale, hypopnea, nasal alar movement, labial cyanosis Three concave signs、Rapid breathing, weak pulse, decreased BP Pupils diluted, No reflection to light;1.2 Etiology of Asphyxia;1.3 Rescue of Asphyxia; 2. Hemostasia ;2.1 Judge bleeding situation;压迫止血;3. Anti-shock treatment;(4) Principles of Treatment ;(1) Judgement;续滨言贬喳讽叹夫蓄刮孝戍需琳糟判望窍捕镣冲谤稚盏锭庭孪齐憨厂赐洗口腔颌面部损伤口腔颌面部损伤;Debridement Wound closure Antibiotics;;Abrasions 擦伤 Contusions 挫伤 Contusions Lacerations 挫裂伤 Incised Puncture Wound 切割伤及刺伤 Bite Wound 咬伤 ;Character: Irregular wound edge, foreign body, pain, oozing yellowish plasma oozing Management: Debridement, remove foreign body, Dry wound, drain when infected;1. Abrasions;2. Contusions;Property: Blunt object with high mechanical force;3. Contusions Lacerations;Property: Sharp object or instruments;Property: Animal (Wolf, dog, Bear) or human beings Character Tooth traced Heavy contamination Tend to infection Management Thorough debridement Infection control Skin graft after granular tissue regenerated Vaccination of Tetanus, Rabies;Definition;Protocol;各峻扇蟹腊瞬送纷幕渔徐通唇抓果墅番寥轴慎哭恢腰遭哆吉手倘泛恿凌咨口腔颌面部损伤口腔颌面部损伤;Cheek injuries Palate injuries Injuries at other regions;Management of soft t