摘要
本文分析颅底骨折109例,其中24例伴有特殊并发症,包括迟发性颅内严重感染或脑脓肿,颈内动脉损伤,多发性颅神经损伤和急性大量脑脊液鼻漏或气颅。13例进行了各种手术治疗。讨论了颅底骨折的生物物理特征与发生特殊并发症的关系。前额部外伤可引起"颅面劈裂骨折",一侧或双侧颗部挤压伤可引起"绞锁骨折",以上颅底骨折都可引起颈内动脉损伤及多根颅神经损伤。
Among 109 patienta with basilar fracture of skull, 24 with special complications were analysed retrospectively, The complications included: delayed severe intracranial infection or brain abscess (7 cases), intracranial artery damage (9 cases), multiple cranial nerve injury (5 cases), and acute massive rhinorrhea and pneumocephalus (3 cases). Thirteen patients were operated on with various methods according to the clinical diagnosis. The relations between the biophysiological nature of the base of the skull and the mechanism of the complications were discussed. Forehead injury may cause 'craniofacial cleavage fracture', and unilateral or bilateral temporal crush may caues 'hinge fracture'. All the basilar fractures mentioned above may damage the internal carotid artery and cranial nerves.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
1991年第1期10-12,共3页
Chinese Journal of Trauma
关键词
颅骨骨折
脑脊液鼻漏
并发症
basilar fracture of skull cercbrospinal rhinorrhca craniofacial cleavage hinge fracture.
