高海拔地区战士血管迷走性晕厥导致面部外伤分析临床医学.docVIP

高海拔地区战士血管迷走性晕厥导致面部外伤分析临床医学 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：高海拔地区战士血管迷走性晕厥导致面部外伤分析临床医学 1 1 一般资料 3 2 方法 3 1 受伤情况 3 2 治疗 4 1 受伤原因和受伤机制分析 5 2 治疗 方法和预后 5 3 对患者身心健康的影响和预防 7 文2：横纹肌溶解综合征导致急性肾衰竭分析临床医学 8 1 资料与方法 8 2 结果 9 3 讨论 9 参考文摘引言： 10 原创性声明（模板） 11 文章致谢（模板） 12 正文 高海拔地区战士血管迷走性晕厥导致面部外伤分析临床医学 文1：高海拔地区战士血管迷走性晕厥导致面部外伤分析临床医学 Abstract: Objective To characterize the wound and treatment of maxillofacial injuries due to vasovagal syncope in patients at high A retrospective review of 36 patients with maxillofacial injury resulting from vasovagal syncope from 1997 to 2007 was the cases were soldie,who were injured in face due to syncope after longtime wound characteristics and treatments of the patients were All the patients had soft tissue laceratio with linear margin at region of chi,and got primary wound healing after debridment and 32 patients (%),116 teeth suffered crown or crownroot fractures,% of which were extracted endodontic treatment and denture restoration were performed in other last,the defect of teeth and dentition of the 32 cases was patients (25%) with contusion of temporomandibular joint got symptomatic the 9 cases,4 patients suffered mandibular fracture resulting from falling during sentry duty,whose occlusal relation was restored by fixing with an arch Maxillofacial injury as a result of syncope in soldie at high altitude has special etiological facto and clinical is important to avoid missing of teeth and mandibular fracture should be emphasized,and the curative criterion is recovering patients masticatory function. Key words:maxillofacial injury;high altitude;syncope 晕厥是由于一过性全脑缺血低氧所致的短暂性意识障碍，伴姿势性肌张力丧失而倒地。血管迷走性晕厥是健康人中最常见的晕厥类型，一般不需要特殊治疗即可迅速自行恢复[1]。晕厥发作而摔倒可以导致意外伤害。郑慧芬等[2]对351例不明原因晕厥患者调查发现，%的患者有晕厥相关性躯体意外伤害事件的发生，其中%的患者有面部损伤，仅1例因颅内出血而住院治疗，伤者平均年龄22岁。Bartoletti等[3]对急诊科的晕厥患者统计，1114例患者平均年龄岁，%伴有躯体损伤，%伤势严重，其中%的患者头面部损伤。继发损伤被认为是晕厥时意识丧失的最主要并发症，面部损伤较常见且多为轻伤，晕厥导致健康的军人面部外伤鲜见报道。 在高海拔环境中人体处于轻度低氧状态，长时间站立可加重脑组织低氧，容易发生