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口腔颌面部损伤精品课件
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;Date;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;Date;Cheek injuries
Palate injuries
Injuries at other regions;Management of soft tissure injuries;Date;Section 5 Injury of Teeth and Dental Alveolar Process;1. Toot
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