颌面部火器伤伴发颅脑损伤病理特点及临床意义 |
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引用本文: | 谭颖微,李忠禹,蒋和田,牙祖蒙,张新芳,刘荫秋,赖西南,周宝桐,周树夏. 颌面部火器伤伴发颅脑损伤病理特点及临床意义[J]. 口腔颌面外科杂志, 1993, 0(2) |
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作者姓名: | 谭颖微 李忠禹 蒋和田 牙祖蒙 张新芳 刘荫秋 赖西南 周宝桐 周树夏 |
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作者单位: | 第三军医大学新桥医院口腔科,第三军医大学新桥医院口腔科,第三军医大学新桥医院口腔科,第三军医大学新桥医院口腔科,第三军医大学新桥医院口腔科,第三军医大学野战外科研究所,第三军医大学野战外科研究所,第三军医大学野战外科研究所,第四军医大学口腔医学院 630037,630037,630037,630037,630037 |
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摘 要: | 狗12只(正常对照2只),用重1.03g、射速1300m/s钢珠致伤颌面部、造成重型颌面部火器伤,伤后即时、6小时分别开颅,检查颅脑损伤情况,切取脑组织标本行光、电镜观察。实验发现颌面部重型火器伤时伴有颅脑损伤,病理特点为颅脑区域性出血及脑挫伤,组织学观察神经组织主要为细胞、髓鞘的变性改变,提示临床处理中应注意颅脑并发症。
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关 键 词: | 颌面 火器伤 颅脑 损伤 狗 |
PATHOLOGICAL CHARACTERISTICS AND CLINICAL SIGNIFICANCE OF CEREBRAL INJURIES ACCOMPANING MAXILLOFACIAL FIREARM WOUNDS |
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Abstract: | The maxillofacial regions of twelve dogs' (two as control) were wounded with steel spheres weighting 1.03g, impacting velocity 1300 m/s, to produce the severely maxillofacial firearm wounds. Immediately, six hours after wound, the cerebral injurious conditions were examined and the brain specimens were collected for light and electron microscopic observation. The results showed that there were cerebral accompaning after maxillofacial wound. The pathological characteristics of cerebral injury were local hemorrhanges, contusion of brain and some degenerative changes of nervous cells and myelin sheaths. All that prompt that the cerebral injury complications should be paid attention in treatment of severely maxillofacial firearm wounds. |
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