开放性喉外伤急诊救治及临床分析  

Emergency treatment for open laryngeal trauma and clinical analysis

作　　者：石达[1] 刘长益[1] 胡波[1] 王虎[1] 

机构地区：[1]江苏省泗洪县人民医院耳鼻喉科,江苏泗洪223900

出　　处：《海南医学院学报》2010年第6期755-756,759,共3页Journal of Hainan Medical University

基　　金：海南医学院科研基金资助学报项目(0020100212)~~

摘　　要：目的:探讨开放性喉外伤的急诊救治、手术处理方法。方法:回顾性分析开放性喉外伤28例患者的临床资料。结果:28例全部急诊手术治疗,1例患者在抢救中合并心肺功能衰竭死亡,其余27例患者临床治愈后随访6个月以上。27例患者中有25例患者术后发音恢复正常,其中有2例术后发生咽瘘,1例术后发生气管食管瘘,经进一步处理瘘道愈合,无声音嘶哑。另有2例患者术后发生喉狭窄,再次手术后喉狭窄治愈,但声音仍嘶哑。结论:在开放性喉外伤的急诊救治过程中,应尽量抢救生命,最大限度保留、恢复喉功能和防止并发症的发生。Objective： To explore emergency treatment for open laryngeal trauma and its surgical treatment.Methods： A retrospective analysis of 28 open laryngeal trauma cases with emergency treatment was carried out.Results： All 28 cases had emergency surgery,and 1 case died of heart and lung failure.25 cases had normal pronunciation after operation including 2 cases with postoperative pharyngeal fistula and 1 case with postoperative tracheo-esophageal fistula,which was healed after further treatment without a hoarse voice.There were 2 cases had postoperative laryngeal stenosis,and were healed after surgery again but still with a hoarse voice.Conclusions： In emergency treatment for open laryngeal trauma,it is important to save lives.Complications prevention,retention and recovery of laryngeal function are also necessary.

关 键 词：开放性喉外伤 急诊 外科手术 

分 类 号：R767.8[医药卫生—耳鼻咽喉科]