Đánh giá kết quả chăm sóc người bệnh phẫu thuật chấn thương hàm mặt tại Bệnh viện Trung ương Quân đội 108

Abstract

Objective: To describe some clinical, laboratory features and analysis of results of care for patients with maxillofacial trauma operated at 108 Military Central Hospital. Subject and method: A cross-sectional study of 124 patients diagnosed with maxillofacial trauma and treated at the Maxillofacial and Plastic Surgery Department of 108 Central Military Hospital from 11/2020 to 5/2021. Result: Injuries were mainly found in men (75.81%), the majority aged 18 - 59 years old (87.90%). The main reason for admission was traffic accident (86.29%). The rate of swelling and swelling after surgery gradually decreased until the day of discharge to 35.48%; diagnosed by X-ray, the rate of fracture in the middle of the face was higher than that of the mandibular fracture with the rate of 73.39%. Surgical results had 01 patient, accounting for 0.81%, with surgical site infection; the rate of postoperative swelling decreased gradually, the first day was 100%, by the third day this rate decreased to 98.38%, the fifth day was 83.87% and the day of discharge was only 35.48%. Health education communication was over 80%; it is best to guide hospital regulations and use drugs exactly as indicated, accounting for 100%. Conclusion: The main cause of maxillofacial trauma was traffic accidents, men accounted for 3/1 compared with women, working age accounted for the majority. Injury to midface fractures accounted for more than 70%, macular tests show an increased white blood cell count and other biochemical and blood chemistry indicators within normal limits. The time from injury to hospital admission was more than 12 hours long (77.4%), 94.35% had swelling in the face. The results of surgical treatment were only 1/124 cases of surgical site infection, the nursing factors that greatly affect the treatment outcome were dressing change care, fluid drainage monitoring, analgesia care and health education for patients.