Prokhvatilov G I, Chernysh V F, Lachin R A
Voen Med Zh. 2006 Jan;327(1):32-4, 96.
Basing on the clinic's data obtained during the 5-year period (2000-2004) we observed 653 patients with different traumas of maxillofacial area. Among the patients 69.8% were the casualties with mandible fractures, 6.7--with maxilla fractures and 2.5%--with zygomatic bone fractures. The combined injuries of maxillofacial and other areas were observed in 11.6%. The combined injuries of maxillofacial area with extremities constituted 0.6%, with chest--0.5% and adjacent areas of head--9.5%. The analysis of conducted therapeutic work and previous experience allows suggesting the medical tactics concerning the problems of terms, methods and volume of specialized care rendered to the patients with combined maxillofacial trauma. It implies that combined injury of jaws with other body segments requires rendering of specialized care in whole volume, early periods, just immediately after getting the patient from shock.
根据该诊所2000年至2004年这5年期间获得的数据，我们观察了653例颌面区域不同创伤的患者。其中，69.8%的患者为下颌骨骨折伤员，6.7%为上颌骨骨折，2.5%为颧骨骨折。11.6%的患者存在颌面与其他区域的合并伤。颌面区域与四肢的合并伤占0.6%，与胸部的合并伤占0.5%，与头部相邻区域的合并伤占9.5%。对所开展的治疗工作及既往经验进行分析后，可就为合并颌面创伤患者提供专科护理的时机、方法和范围等问题提出医疗策略。这意味着颌面部与身体其他部位的合并伤需要在患者从休克状态恢复后立即提供全面、早期的专科护理。
