颈部穿透伤的选择性处理  

Selective Management of Penetrating Neck Injuries

作　　者：伍伟景[1] 卢永德[1] 

机构地区：[1]湖南医科大学第二临床学院耳鼻咽喉科教研室

出　　处：《中国耳鼻咽喉颅底外科杂志》1996年第1期46-48,共3页Chinese Journal of Otorhinolaryngology-skull Base Surgery

摘　　要：对颈部穿透伤的处理尚有争议。一些作者提出对所有穿透伤一律手术探查，另一些作者主张选择性处理。本文分析选择性处理颈部穿透伤３６例，认为：（１）病情危急者，需即刻手术探查；（２）病情稳定，疑有重要器官和结构受损者，可辅助检查后进一步处理，血管造影和内窥镜检查是重要的诊断措施；（３）喉部损伤，除个别局限性轻度损伤可严密观察与保守治疗外，均应积极处理，防止喉阻塞和严重喉狭窄。There are some controversies regarding the management of the penetrating neck injuries. Some authors have advocated mandatory exploration of all injuries deep to the platysma,but others argued that selective management based on the types and locations of trauma would be more appropriate. After analyzing 36 hospitalized patients with penetrating neck injuries,we came up with the following guildlInes for the management.(1)Unstable patients in critical condition must be immediately explore.(2)Stable patients suspected of injuries of major organs or struc-tures require selective management after ancillary diagnostic studies,of which angiography and en-doscopy are the most important diagnostic procedures,(3)Laryngeal injuries should be urgently managed to avoid laryngeal obstruction and severe stenosis except that some mild and limited in-juries can be conservatively treated under clcaqe observation.

关 键 词：颈部损伤 穿透伤 外科手术 

分 类 号：R653[医药卫生—外科学]