下唇撕裂游离６小时再生成功一例晋中地区第一人民医院（０３０６００）王凤英太钢总医院窦庆堂患者男，２５岁，因工作中不慎被机器击伤唇部，患者手托颏部，流血不止，六小时后急诊入院。检查见：下唇从左口角处沿着前庭沟至右口角撕裂，仅与红唇粘膜约３毫米相连外，整体旋转悬吊至颏下，呈青紫色。唇面嵌有泥土和砂粒。口内血水一直外淌。即刻送往手术室，在双侧下齿槽神经麻醉下，反复用３％过氧化氢和生理盐水冲洗干净并剪修组织面，复位后对位缝合。颌部加压包扎。同时全身用抗生素予防感染，面部每日用０．１％新洁尔灭棉球擦拭，保持口腔卫生。五日拆除口内缝线，七日拆除口外缝线。唇形完好，仅有麻木感。半年后复查下唇外观与功能均正常。　　　　　　　下唇撕裂游离6小时再生成功一例@王凤英,窦庆堂$晋中地区第一人民医院,太钢总医院 Lower lip tear free 6 hours a successful case of regeneration Jinzhong District First People's Hospital (030600) Wang Fengying TISCO General Hospital Dou Qingtang patients Male, 25 years old, was accidentally injured by the machine lips, the patient hand chin, Bleeding more than six hours after emergency admission. Check to see: the lower lip along the vestibule from the left corner of the vestibule to the right mouth tearing, with only about 3 mm red lips mucosa connected to the overall rotation hanging to the chin, was purple. Mud and sand are embedded in the lips. Mouth blood has been drip. Immediately sent to the operating room, under the bilateral lower alveolar nerve anesthesia, repeatedly washed with 3% hydrogen peroxide and saline and trimmed tissue surface, the position of the suture after reduction. Jaw pressure bandaging. At the same time systemic antibiotics to prevent infection, the face daily with 0.1% benzalkonium bromide wipe to maintain oral hygiene. Remove the suture on the 5th and remove the suture on the 7th. Lip shape intact, only numbness. After six months review the appearance and function of the lower lip are normal. Lower lip tear free 6 hours a success @ Wang Fengying, Dou Qingtang $ Jinzhong District First People's Hospital, TISCO General Hospital