两伊战争中颌面损伤的处理
Management of maxillofacial injuries in the Iran-Iraq War.
作者信息
Akhlaghi F, Aframian-Farnad F
机构信息
Department of Oral and Maxillofacial Surgery, Taleghani Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
出版信息
J Oral Maxillofac Surg. 1997 Sep;55(9):927-30;discussion 930-1. doi: 10.1016/s0278-2391(97)90060-4.
PURPOSE
This study discusses types of maxillofacial injury, their treatment, and complications encountered in the Iran-Iraq war.
PATIENTS AND METHODS
During 1981 to 1986, 210 casualties were treated with 250 operations in Mostafa-Khomeini hospital in Tehran. Their records were analyzed retrospectively. The operations were mostly reconstructive and consisted of methods adopted because of available instruments of that time.
RESULTS
Mandibular defects were the most prominent kind of injury (43.2%), and approximately two thirds of them needed tracheostomy. Ophthalmic injuries represented 20% of midfacial injuries. Osteomyelitis was a common complication of primary phases of treatment.
CONCLUSION
The inability to evacuate and promptly treat patients with gunshot wounds can result in complications, especially infections, that make the later phases of treatment difficult.
目的
本研究探讨了两伊战争中颌面损伤的类型、治疗方法及并发症。
患者与方法
1981年至1986年期间，德黑兰穆斯塔法·霍梅尼医院对210名伤员进行了250次手术治疗。对他们的记录进行了回顾性分析。手术大多为重建手术，采用的方法是基于当时可用的器械。
结果
下颌骨缺损是最突出的损伤类型（43.2%），其中约三分之二的患者需要气管切开术。眼部损伤占面中部损伤的20%。骨髓炎是治疗初期的常见并发症。
结论
无法及时疏散和治疗枪伤患者会导致并发症，尤其是感染，这会使后期治疗变得困难。
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