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目的 :提高急诊期鼻骨骨折的诊治效果。方法 :对 30 4例本病患者行鼻骨骨折整复术 16 1例 ,鼻骨骨折整复加鼻中隔矫正术 118例 ,鼻骨骨折整复加鼻窦骨折整复术 13例。结果 :除自动出院 7例外 ,治愈 2 79例 ,好转 18例。结论 :详细检查并酌行 CT扫描 ,注意发现鼻中隔骨折、颅脑损伤及鼻窦骨折的存在 ;严重复合伤按常规救治原则处理 ,伴鼻中隔骨折者可同时行鼻中隔矫正术。
Objective: To improve the diagnosis and treatment of nasal fracture in emergency. Methods: One hundred and thirty-four patients underwent nasal bone fracture reconstruction in 16 1 cases, nasal bone fracture repair combined with nasal septum correction in 118 cases, nasal bone fracture repair plus sinonasular fracture repair in 13 cases. Results: In addition to 7 cases of automatic discharge, 2 79 cases were cured and 18 cases improved. CONCLUSIONS: After careful examination and discretional CT scans, attention should be paid to the presence of nasal septum fracture, craniocerebral injury and sinus fracture. Severe complex injuries should be treated according to the principle of routine treatment. Nasal septal fractures can be performed simultaneously with nasal septoplasty.