版權說明:本文檔由用戶提供并上傳,收益歸屬內容提供方,若內容存在侵權,請進行舉報或認領
文檔簡介
口腔頜面部損傷Dr.SteveGFShenOralandMaxillofacialSurgerySchoolofStomatologyShanghaiNinthPeople’sHospitalShanghaiSecondMedicalUniversityOral&MaxillofacialTraumaChapter7Vocabularyabrasion擦傷adjacenttooth鄰牙alar鼻翼的antibiotics抗生素anti-infection抗感染anuria無尿archbar牙弓夾板arterial動脈的asphyxia窒息bandage綁帶bitewound咬傷bloodsupply血供bustup斗毆capillary毛細血管的cerebral腦的cerebralfluid腦脊液cervical頸的concussion震蕩contaminate污染contusion挫傷2024/9/92Vocabularycyanosis發(fā)紺debridement清創(chuàng)術alveolarprocess齒槽突dentalpulp牙髓devitalize失活dysfunction功能異常dysphoria煩躁不安edema水腫esthetic美學的exfoliate脫落exsanguine失血的extradural硬腦膜外的extrinsicforce外力extrusion突出的facialnerve面神經foreignbody異物fracture骨折gingival牙齦的hematoma血腫hemostasia止血,止血法2024/9/93Vocabularyhemostat止血鉗hyponuria少尿hypopnea低通氣incisedwound切割傷inhale吸氣inspiratoryasphyxia吸入性窒息intracranial顱內的intubation插管lacerate撕裂laceration撕裂ligation結扎luxation脫位malocclusion咬合錯亂mandible下頜骨mastication咀嚼m(xù)axilla上頜骨maxillofacial頜面的mouthopening張口度nasalcavity鼻腔obliviscence遺忘2024/9/94Vocabularyobstructiveasphyxia阻塞性窒息occlusion咬合oralcavity口腔oralhygiene口腔衛(wèi)生orbit眼眶pain-killer止痛劑paralysis癱瘓paranasalsinus副鼻竇parotidgland腮腺percussion叩診periodontalligament牙周韌帶petechia瘀斑,瘀點pharyngealcavity咽腔plasma血漿psychological心理的psychotherapy精神療法rabies狂犬病regenerate再生reimplantation再植rescue營救,搶救2024/9/95Vocabularyrespiratory呼吸的saliva涎液,唾液salivary涎液的shock休克skullbase顱底stomatognathic口頜的subdermal皮下的swallow吞咽sweat出汗tetanus破傷風toothache牙疼toxicshock中毒性休克transportation運輸,搬運trauma損傷,外傷trigeminalnerve三叉神經unconsciousness神志不清upperairway上呼吸道vaccination接種疫苗venous靜脈的viscera內臟2024/9/96Definitionoftraumatrauma
noun[CorU]severeemotionalshockandpaincausedbyanextremelyupsettingexperience:
thetraumaofmarriagebreakdown
Hehadpsychotherapytohelphimdealwithhischildhoodtraumas.SPECIALIZEDasevereinjury,usuallycausedbyaviolentattackoranaccident(fromCambridgeAdvancedLearner'sDictionary)2024/9/97Section1IntroductionWarIncidenceTrafficAccidentSportsFallingBustupLaborinjury2024/9/9824萬14.2萬人10億元1993年1997年2001年30萬19萬人18.5億元75.5萬54.6萬人3.09bRMBFinancialLoss致傷人數(shù)NooftrafficaccidentTrafficAccident2024/9/99TrafficAccident2024/9/910
Combinedinjurytootherviscera-Fataltolife
Damagetomaxillofacialstructure
Stomatognathicdysfunction
Facialestheticproblem
PsychologicaltraumaEffectofTraumaontheHumanBody2024/9/9111.RichbloodsupplySection2CharacteristicsofOMFTrauma2024/9/912DebridementTime:24–48hTendto hematoma,edemaRespiratorytractAsphyxiaAbilitytoanti-infection,regenerationWoundhealing1.Richbloodsupply2024/9/913
Cerebralconcussion
Cerebralcontusion
Intracranialhematoma
Skullbasefracture
Increaseinfectiousincidence
Malocclusioncaused-Diagnosis
Occlusionregained-Treatment2.Relationshipbtwtooth&OMFtrauma3.Cranio-cerebraltrauma2024/9/914Mouthopening,mastication,swallowing4.Cervicaltrauma5.Effectonbreathing6.EffectofondigastricsystemBleedingParalysis 癱瘓LeadingdifficultybreathingdietworseoralhygieneAsphyxia窒息2024/9/9157.Multi-sinus
-contamination
InfectionOralcavityNasalcavityPharyngealcavityOrbitParanasalsinusBacteriaTempHumidity2024/9/9168.DamagetospecificstructureParotidGlandFacialN.TrigeminalN.SalivaryfistulaFacialparalysisRegionalnumbness2024/9/9179.FacialDefect
FacialcontourPsychologicaltrauma2024/9/918EvaluatetraumasoonIdentifythekeytrauma,managethefatalfirstCarefulhistorytaking,thoroughphysicalexamRescueintimeManagementinorderGeneralRulesSection3Rescue2024/9/9191.PreventionofAsphyxiaSection3Rescue2024/9/920Dysphoria,sweating,inhalingrespirationDifficulttoinhale,hypopnea,nasalalarmovement,labialcyanosisThreeconcavesigns、Rapidbreathing,weakpulse,decreasedBPPupilsdiluted,Noreflectiontolight1.1ClinicalfeaturesofasphyxiaProdrome2024/9/9211.2
EtiologyofAsphyxia
ForeignbodyobstructionInspiratoryAsphyxiaLowAirwaySwellingForeignbodyBlood,salivaVomitUpperairwayTissuedislocation
ObstructiveAsphyxia2024/9/9221.3
RescueofAsphyxiaClearforeignbodyinupperairwaySuspendmaxillaIntubationHoldthetongueoutObstructiveAsphyxia吸入性窒息氣管切開術2024/9/923
2.HemostasiaTwosteps:JudgebleedingsituationChoosethewaytostopbleedingSection3Rescue2024/9/9242.1
JudgebleedingsituationThreecategoriesArterialCapillaryVenousBasedonorigin2024/9/925壓迫止血指壓止血法包扎止血法填塞止血法結扎止血法藥物止血法2.2
Methodsofhemostat2024/9/9263.Anti-shocktreatment(2)
Purposeofanti-shock(1)
Definition&Classification
TraumaticshockExsanguineshock
>20%BodyweightToxicshockInfectiousshock
Restorecirculation2024/9/927(4)
PrinciplesofTreatment
(3)
FeaturesofShockEarlystage:Dysphoria,quick&superficialbreath,sweating,palenessMiddlestage:Tingletosupression,emotionalfaint,unconsciousness,decreaseBP,labialpalenessLatestage:weakerpulsation,unmeasurableBP,hyponuria,anuria<30ml/hHemostasis,bloodtransfusion,paincontrol,fluidtransfusion,sedation2024/9/928(1)
Judgement4.CombinedCraniocerebralInjuriesConsciousness,pulse,BP,respiration,pupil(2)Earlydiscovery,earlymanagementRetrogradeobliviscence CerebralconcussionIntermediatewake-up ExtraduralhematomaCerebralfluidleak Skullbasefracture2024/9/9292024/9/930DebridementWoundclosureAntibiotics5.PreventionofInfection6.Bandage&Transportation2024/9/931
Section4SoftTissueTrauma2024/9/932Abrasions 擦傷Contusions 挫傷Contusions&Lacerations 挫裂傷Incised&PunctureWound 切割傷及刺傷BiteWound
咬傷TypesofinjuriesSection4SoftTissueTrauma2024/9/933Character:Irregularwoundedge,foreignbody,pain,oozing&yellowishplasmaoozingManagement:Debridement,removeforeignbody,Drywound,drainwheninfected1.AbrasionsProperty:roughsurfaceEpidermis&superficialdermis2024/9/9341.Abrasions2024/9/9352.ContusionsCharater:petechia,swelling,painManagement:
HemostasisPain-killerPreventionofinfectionHematomaresorptionRe-establishmentoffunctionProperty:bluntmaterial&felltohardobjectSubdermaltissue(noopenwound)2024/9/936Property:Bluntobjectwithhighmechanicalforce3.Contusions&LacerationsCharacterIrregularwoundedge,saw-toothedBiglacerationw/wonecrotictissue&openfracturesManagementDebridementWoundClosureSofttissue2024/9/9373.Contusions&Lacerations2024/9/938Property:Sharpobjectorinstruments4.Incised&PunctureWoundCharater
RegularwoundedgeBleedingSmallaccess,butdeepwoundManagementDebridementWoundclosureSofttissue2024/9/939Property:Animal(Wolf,dog,Bear)orhumanbeingsCharacterToothtracedHeavycontaminationTendtoinfectionManagementThoroughdebridementInfectioncontrolSkingraftaftergranulartissueregeneratedVaccinationofTetanus,Rabies5.BiteWound2024/9/940DefinitionDebridement
MainEntry:de·bride·ment
Pronunciation:di-'brEd-m&nt,dA-,-"m?nt,dA-brEd-'m?n
Function:
noun
Etymology:Frenchdébridement,fromdébridertoremoveadhesions,literally,tounbridle,fromMiddleFrenchdesbrider,fromdes-de-+bridebridle,fromMiddleHighGermanbrIdel--moreatBRIDLE
:thesurgicalremovaloflacerated,devitalized,orcontaminatedtissue2024/9/941Protocol1.washwound
Time:6--12h
Solution:soapwater,saline,hydrogendioxideDebridement3.Closure2.Cleanwound
Removalofforeignbody Trimmingofnecrotictissue2024/9/9422024/9/943CheekinjuriesPalateinjuriesInjuriesatotherregionsManagementofsofttissureinjuriesTongueinjuriesLengthmaintain,longitudinalclosureIndependentclosure,buttonguesuturedominationBigneedlewithbig,depthsuturingormatricsuturing2024/9/944Managementofsofttissureinjuries2024/9/9452024/9/946Section5InjuryofTeethandDentalAlveolarProcess2024/9/9471.Toothinjuries
1.1ContusionofTeethEtiology:Extrinsicforce blunttoothinjuries
PeriodontalligamentsordentalpulpCharacter:ExtrusionoftoothMobilityPercussion&ToothachewhenchewingManagementToothrestToothgroundSimpleligation2024/9/9481.Toothinjuries
1.2LuxationofTeethClassificationCharacterToothdislocatedorexfoliatedManagementToothprotectionpriorityReductionFixationReimplantationPartialluxationCompleteluxation-Toothdislocation-Semiluxation-Intrusivemovement2024/9/949Gingivalorlabialswelling,lacerationAdjacentteethoralveolarproce
溫馨提示
- 1. 本站所有資源如無特殊說明,都需要本地電腦安裝OFFICE2007和PDF閱讀器。圖紙軟件為CAD,CAXA,PROE,UG,SolidWorks等.壓縮文件請下載最新的WinRAR軟件解壓。
- 2. 本站的文檔不包含任何第三方提供的附件圖紙等,如果需要附件,請聯(lián)系上傳者。文件的所有權益歸上傳用戶所有。
- 3. 本站RAR壓縮包中若帶圖紙,網(wǎng)頁內容里面會有圖紙預覽,若沒有圖紙預覽就沒有圖紙。
- 4. 未經權益所有人同意不得將文件中的內容挪作商業(yè)或盈利用途。
- 5. 人人文庫網(wǎng)僅提供信息存儲空間,僅對用戶上傳內容的表現(xiàn)方式做保護處理,對用戶上傳分享的文檔內容本身不做任何修改或編輯,并不能對任何下載內容負責。
- 6. 下載文件中如有侵權或不適當內容,請與我們聯(lián)系,我們立即糾正。
- 7. 本站不保證下載資源的準確性、安全性和完整性, 同時也不承擔用戶因使用這些下載資源對自己和他人造成任何形式的傷害或損失。
最新文檔
- 2025年股份代持協(xié)議
- 顴部褐青色痣病因介紹
- 阿洪病病因介紹
- 全國賽課一等獎初中統(tǒng)編版七年級道德與法治上冊《正確對待順境和逆境》獲獎課件
- 《電機技術應用》課件 2.1.1 異步電動機結構
- 幼兒園2024-2025學年度園務工作計劃
- (范文)花瓶項目立項報告
- (2024)茶業(yè)初精制加工生產線技術改造項目可行性研究報告寫作模板
- 2023年氫氧化鍶項目融資計劃書
- 【CSA GCR】大語言模型威脅分類
- 心理健康與大學生活學習通超星期末考試答案章節(jié)答案2024年
- 借款協(xié)議(父母借款給子女買房協(xié)議)(二篇)
- 外研版英語2024七年級上冊全冊單元知識清單(記憶版)
- 國家開放大學電大本科《工程經濟與管理》2023-2024期末試題及答案(試卷代號:1141)
- 歌唱語音智慧樹知到期末考試答案章節(jié)答案2024年齊魯師范學院
- MOOC 美在民間-南京農業(yè)大學 中國大學慕課答案
- 中國馬克思主義與當代課后習題答案
- 神經遞質與受體
- 智能系統(tǒng)工程自評報告
- 賽柏斯涂層防水施工工法
- 2_電壓降計算表(10kV及以下線路)
評論
0/150
提交評論