颌面部和颈部损伤并发感染的临床和法医学问题

V. Popov, O. Egorova
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引用次数: 1

摘要

颌面部和颈部创伤最常见和最可预测的并发症之一是感染,它使创伤的进展更加急性。当感染发生时,它会影响临床表现并决定创伤的最终结果。不适当的医疗方法加剧了创伤进展的严重程度,从而使对伤害的法医评估复杂化。目前在颌面部及颈部损伤中急性炎症过程的发生率和临床过程的特点方面,对急性炎症过程的严重程度没有明确的定义。本研究旨在改善颌面部及颈部损伤患者对人体健康危害程度的评估标准。对俄罗斯圣彼得堡市第15医院口腔颌面外科2008 - 2019年住院患者的病历进行回顾性分析。所有患者的颌面部和颈部损伤严重程度不同,感染过程复杂,在颌面部和颈部细胞间隙的患病率不同。在所有这些案件中,都试图进行手术,但手术并不总是充分和及时的,这使得法医专家更难评估伤害对人体健康造成的损害的严重程度。研究结果证实,在颌面部和颈部损伤合并感染过程的情况下,有必要实施评估对人体健康危害严重程度的现代化标准。它们的实施将有助于弥合实际需要与法医检查能力之间的差距
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical and Medico-legal Aspects of Maxillofacial and Neck Injuries Complicated by Infection
One of the most frequent and predictable types of complications in traumas of the maxillofacial area and neck is that of infection, which renders the progression of the trauma more acute. It is infection, when it occurs, that affects the clinical picture and determines the final outcome of the trauma. Inadequate medical methods exacerbate the severity of the progression of the trauma and, consequently, complicate forensic medical assessment of the injury. Nowadays there is no clear definition of acute inflammatory process severity in terms of prevalence and characteristics of its clinical course in maxillofacial area and neck injuries. The aim of our study is to improve criteria for assessing the severity of harm to human health in patients with injuries of the maxillofacial area and neck. We carried out a retrospective analysis of medical records of the inpatients treated from 2008 to 2019 in the department of Oral and Maxillofacial Surgery of St. Petersburg City Hospital No. 15, Russia. All patients had the injuries in the maxillofacial area and neck varying in severity and complicated by infectious processes, differing in their prevalence in the cellular spaces of the maxillofacial area and neck. In all these cases surgery was attempted, but it was not always adequate and timely, which made it more difficult for medical forensics experts to assess the severity of harm to human health resulting from the injury. The results of the study confirm the need to implement the modernized criteria for assessing the severity of harm caused to human health in case of injuries in the maxillofacial area and neck complicated by infectious processes. Their implementation will help bridge the gap between practical needs and the capabilities of forensic medical examination
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