闭合性喉气管断裂伤的诊断与治疗  

Diagnosis and treatment of closed rupture of larynx and trachea

作　　者：阮炎艳[1] 崔鹏程[1] 高鹏飞[1] 陈文弦[1] 

机构地区：[1]第四军医大学唐都医院耳鼻咽喉科,陕西西安710038

出　　处：《创伤外科杂志》2008年第4期311-313,共3页Journal of Traumatic Surgery

摘　　要：目的提高对闭合性喉气管断裂伤的诊治水平。方法报告38例闭合性喉气管断裂伤病例的临床资料，其中急性外伤16例，陈旧性外伤22例。对临床易发生的问题进行分析。结果38例中16例急性喉外伤在24～48小时之间行手术治疗，22例陈旧性喉外伤因其它原因在32—129天后行手术治疗。35例手术成功拔管，3例因喉气管狭窄手术失败不能拔管，均为陈旧期手术患者。结论对于急性闭合性喉气管断裂伤应根据其病情轻重程度进行早期处理，尽快恢复喉和气管通气功能，预防后遗症及并发症的发生，提高治愈率。Objective To raise the diagnosis and treatment level of closed rupture of larynx and trachea. Methods Thirty-eight cases with closed rupture of larynx and trachea were reported,including 16 cases with acute trauma and 22 cases with old trauma. Some problems which easily occur in diagnosis and treatment were analysed. Results Among 38 cases,16 cases received surgical treatment within 2448 hours,and 22 cases received surgical treatment 32-129 days after trauma with other causes. Thirty-five cases were cured and decannulated except 3 cases with laryngotrachcal stenosis failed in decannulation. All cases with acute trauma were decannulated. Conclusion Patients with acute closed rupture of larynx and trachea should be treatedearly according to severity of trauma,in order to recover the laryngotracheal function,prevent the sequelae and increase the cure rate.

关 键 词：喉气管损伤 气管狭窄 气管切开术 

分 类 号：R767.7[医药卫生—耳鼻咽喉科]