口腔颌面部损伤_精品.pptVIP

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口腔颌面部损伤_精品

* * Debridement Wound closure Antibiotics 5. Prevention of Infection 6. Bandage Transportation * * Section 4 Soft Tissue Trauma * * Abrasions 擦伤 Contusions 挫伤 Contusions Lacerations 挫裂伤 Incised Puncture Wound 切割伤及刺伤 Bite Wound 咬伤 Types of injuries Section 4 Soft Tissue Trauma * * Character: Irregular wound edge, foreign body, pain, oozing yellowish plasma oozing Management: Debridement, remove foreign body, Dry wound, drain when infected 1. Abrasions Property: rough surface Epidermis superficial dermis * * 1. Abrasions * * 2. Contusions Charater: petechia, swelling, pain Management: Hemostasis Pain-killer Prevention of infection Hematoma resorption Re-establishment of function Property: blunt material fell to hard object Subdermal tissue (no open wound) * * Property: Blunt object with high mechanical force 3. Contusions Lacerations Character Irregular wound edge, saw-toothed Big laceration w/wo necrotic tissue open fractures Management Debridement Wound Closure Soft tissue * * 3. Contusions Lacerations * * Property: Sharp object or instruments 4. Incised Puncture Wound Charater Regular wound edge Bleeding Small access, but deep wound Management Debridement Wound closure Soft tissue * * 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 5. Bite Wound * * Definition Debridement Main Entry: de·bride·ment Pronunciation: di-brEd-mnt, dA-, -m?nt, dA-brEd-m?n Function: noun Etymology: French débridement, from débrider to remove adhesions, literally, to unbridle, from Middle French desbrider, from des- de- + bride bridle, from Middle High German brIdel -- more at BRIDLE : the surgical removal of lacerated, devitalized, or contaminated tissue * * Protocol 1. wash wound Time:6--12h Solution: soap water, saline, hydrogen dioxide Deb

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