Maxillofacial trauma patient care.docVIP

 PAGE \* MERGEFORMAT 4 Maxillofacial trauma patient care [Keywords:] Maxillofacial trauma care The past four years, our department treated a total of 390 patients with facial trauma are a few points on the clinical experience of nursing situations. A clinical data 390 cases of maxillofacial trauma patients, 282 cases of male and female 108 cases, aged 1 to 67 years. Of which 171 cases of mandibular fractures, 69 cases of maxillary fractures, facial trauma 40 cases of a comprehensive, on the lower lip laceration in 29 cases, 34 cases of zygomatic fractures, on the 47 cases of mandibular fractures. After symptomatic treatment and active care, were discharged. 2 Nursing 2.1 The focus of nursing (1), asphyxia is the early stage of maxillofacial trauma patients with life-threatening serious problems. In the course of emergency treatment should be closely observed whether there is cause asphyxiation aura symptoms such as restlessness, cold sweats, pale lips cyanosis, nasal symptoms such as incitement, should clear the nose and mouth secretions, dirt and foreign matter will be after the fall of the tongue pull-out, lifting fall of the maxillary bone, if necessary, with the needles inserted cricothyroid membrane, or tracheotomy. (2) oral and maxillofacial region is rich in blood vessels, lymphatic vessels, injury prone to bleeding, especially in maxillary artery injury, is difficult to stop bleeding can cause hemorrhagic shock. According to the site of injury and damage the nature of the observed bleeding, conduct effective hemostasis and supplement blood volume, but added that when the liquid should pay attention to the appropriate speed, so as not to aggravate cerebral edema. (3) close observation in patients with consciousness, pupillary changes, and pay attention to whether the Er in the clear liquid or blood flow, if you are prompted to cerebrospinal fluid leakage, there is the possibility of combined traumatic brain injury, should promptly report a docto