喉外伤31例救治体会  

Management of 31 Cases of Laryngeal Trauma

作　　者：冯志谦[1] 钟伟健[2] 

机构地区：[1]广东省中山市人民医院耳鼻咽喉科,528400 [2]中山大学附属第二医院神经外科

出　　处：《岭南急诊医学杂志》2004年第3期199-200,共2页Lingnan Journal of Emergency Medicine

摘　　要：目的:探讨喉外伤的有效处理措施。方法:回顾自1990-2001年收治的喉外伤31例的救治过程,包括开放性喉外伤14例,闭合性喉外伤17例。其中作气管切开22例,行清创缝合或喉裂开探查16例。结果:气管切开术后16例中15例拔管。31例经治疗后后遗声嘶7例,声门变窄1例。结论:开放性喉外伤首先要保持呼吸道通畅,闭合性喉外伤要密切观察及时手术治疗。Objective: To investigate the effective management of laryngeal trauma. Methods: 31 cases of laryngeal trauma including 14 cases of open trauma and 17 cases of close trauma, which had been diagnosed and treated in our department during 1999 to 2001, were analyzed. Among them, 16 cases had received tracheotomy, and 16 cases had debridement and suturing or had laryngofissure. Results: 15 cases had been detubated successfully after tracheotomy. The sequelae of these 31 cases included 7 cases of hoarseness and 1 case of glottic stenosis. Conclusion:It is first-aid to keep airway clear after open trauma of larynx; it is important to have careful observation and timely surgery after close trauma of larynx.

关 键 词：闭合性喉外伤 救治体会 开放性喉外伤 呼吸道通畅 治疗后 裂开 气管切开术后 

分 类 号：R767.8[医药卫生—耳鼻咽喉科] R641[医药卫生—临床医学]