严重开放性喉外伤的急诊救治分析  

Severe Open Laryngeal Trauma Emergency Care Analysis

作　　者：肖学丰 

机构地区：[1]浏阳市人民医院,湖南长沙410300

出　　处：《中国医药指南》2013年第22期18-19,共2页Guide of China Medicine

摘　　要：目的分析严重开放性喉外伤的急诊救治方法。方法回顾性分析我科2006年2月至2013年1月的开放性喉外伤31例患者的临床资料。结果 1例患者在抢救中因劲动脉出血严重失血性休克死亡,其他30例患者治愈出院。随访1年,其中28例发音恢复正常,术后3例发生喉狭窄,于上级医院行支架植入,呼吸困难得以解除;2例遗留声嘶。其中有1例术后发生咽瘘,加强瘘道换药处理后瘘道渐愈合。1例因感染引起喉腔内肉芽组织形成,于全麻下在支撑喉镜下摘除肉芽组织后肉芽组织未再复发。结论在开放性喉外伤的急救中,应以保持气道通畅,抗休克,止血为原则,并最大限度保留、恢复患者的喉功能并注意预防并发症。Objective To analysis of severe open laryngeal trauma emergency treatment. Methods a retrospective analysis of our department in February 2006 and January 2013 open laryngeal trauma, clinical data of 31 cases of patients. Results 1 case of rescue for strength artery bleeding.in patients with severe blood loss shock death, other 30 patients were cured patients discharged from hospital. Follow-up of 1 year, of which 28 cases returned to normal, 3 cases occurred laryngeal stricture postoperatively, in the superior hospital stenting, difficulty breathing to remove; 2 cases left shouted. Including 1 case of pharyngeal fistula after surgery, strengthen fistula fistula healed gradually after treatment process. 1 case of laryngeal cavity caused by infection with granulation tissue formation, under laryngoscope under general anesthesia granulation tissue did not recur after removal of granulation tissue. Conclusions In open laryngeal trauma emergency treatment, should be to keep airway unobstructed, resistance to shock and bleeding for the principle, and the maximum retention and recovery of laryngeal function in patients with and pay attention to the prevention of complications.

关 键 词：开放性喉外伤 严重 急诊 救治 

分 类 号：R767.8[医药卫生—耳鼻咽喉科]