Fracture o ka iwipoo waihona ipu. lapaʻau kiʻi

Fractures o ka puniu wale no Hoʻohana i māheleʻia i loko o basal a me ka convexital. Loa nā palapū e kūkulu i kekahi mau māwae, i loko o ka hale. Ka mea, ke palahalaha ae ana i ka waihona ipu.

Aia He He definite Mea Maluna o lesions ke kaumaha ma muli o ka ano. Penei, hoomaopopo mawae, perforated (fractures me mā), comminuted fractures.

TBI hiki e ukali ma kekahi divergence o nakaka. Kēia make 'aʻole i kūpono e pili ana i fractures. Mawae e pio 'Aʻole e koi, e like me ka rula,ʻaʻohe kūikawā lapaau. No kekahi mau pule, i ka hoopiha ana o na mawae mua huina, a laila, i ka iwi.

Nāʻikepili no ka hana i loko o comminuted lesions e ala mai ka wā deformation me pohupani hale o na hakina i loko o ka lua (enthlasis).

Ma ka hihia ma lalo o ka aoao o intracranial puʻe, lolo hoʻomaka prolabirovat (iho a me ka bulge) i loko o ka eha, humuhumu paakiki iwi i hiki ole. Ma ia wahi, i hiki, ka mea mea kupono, e lawe i ka ea iwi. No keia mea fascia lata, periosteal-aponeurotic puapua oleʻimi hoʻopunipuni ae pani ai. Hua mai la i wehe iwi koena ai. I mea e pale aku liquorrhea papa; akeke pahee'aʻaʻa.

Fracture o ka puniu wale waihona ipu, IeAUPIIe, IAa IO pu ma basal lolo nā palapū, anei i na pauku. Aia i kekahi hoailona o nā aʻalolo ka pōʻino. Fracture o ka puniu wale no kumu i ke ano o ka mawae, pinepine maalo ae la oia ma ka paranasal sinuses, ka pyramid Hoʻohana o ke kino iwi, ephippium. I ka Ia manawa hanaʻino i ka mucosa o ka paranasal sinuses a me ka iwi, aia no he pahiki kiʻekiʻe o ka maʻiʻaʻai o ka lolo. O ke kumu ho i ka pukaʻana ka mākau hoʻokaʻaʻike ma waena o ka pneumatic subordinate pauku a me cerebrospinal loli mau hakahaka. Mau lesions i wehewehe aku me penetrants.

Basal iwi poʻo fracture hoike mai ai ia cerebral symptoms. Kūlana i nā hoikeana kumu kāna hana, nā aʻalolo pōʻino, cerebrospinal loli, a kahe ana ke koko mai ka pepeiao, waha, ihu, nasopharynx. Kahe ana ke koko mai ka auditory meatus ua malama ka wā poino petrous iwi Hoʻohana i hoʻohui pū 'ia me ka poho i ka tympanicʻili lahilahi; ihu - me ke pio o ka ethmoid iwi; Nasopharyngeal a me ka waha - auka hehee ai ua poino.

Liquorrhea me ka maʻiʻo o ka cerebrospinal loli paipai ia, ma ka hou, i ka mea, he fracture o ka puniu wale waihona ipu ua poino a me ka mater. Ke'ī mai kahe ana ke koko mai na pepeiao a me ka ihu i PalekanaEND_LINK hiʻona i loko o ka hanana e ia lŘlŘ ma ka huipūʻana me ka neurological hoike ana. Nā hana kahe ana ke koko ka nui o ka holo ana hiki wawe ka lawa. Ka mea, IeAUPIIe, IAa IO mai i ka hōʻike 'ana i ka fracture. Nui a me ka hooloihi ae i kahe ana ke koko, ma ka mea ku ole, i hookuu hōʻike i ke alo o ka eha nui.

Fracture o ka iwipoo waihona ipu. waiwai

Ke alo aku o nā lesions loa o basal na oihana koke ma hope o ka ino 'ole i loko o ka pōkole manawa hiki ke alakai i ka make. Kekahi nā mea maʻi i ia i loko o ka nui ano i lawa lōʻihi wā. Ma keia hihia, he fracture o ka puniu wale waihona ipu ua pu ma ka iini, uunu nui, kāna hana o ka naehana'ōnaehana a me ka naau. Ka noho pilikia loa complication ua noʻonoʻo purulent meningitis.