闭合性喉外伤临床分析  

Clinical analysis of blunt laryngeal trauma

作　　者：孙建松[1] 

机构地区：[1]贵州省人民医院耳鼻咽喉头颈外科,贵州贵阳550002

出　　处：《中国耳鼻咽喉头颈外科》2014年第6期319-321,共3页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的探讨减少闭合性喉外伤并发症的救治经验。方法回顾性分析31例闭合性喉外伤患者的临床资料。结果 3例甲状软骨骨折无错位,I^II度呼吸困难者,给予吸氧、喉部超声雾化吸入、抗生素、激素处理,均痊愈。28例严重呼吸困难者,采用紧急气管切开术、喉裂开探查及修复术,术后遗留声嘶5例,发生喉狭窄1例,即行Ⅱ期手术切除瘢痕,喉腔内放置扩张管,3个月后拔管。术后随访至少1年,均无喉狭窄及其他并发症发生。结论闭合性喉外伤应尽早手术探查及喉扩张,恢复喉组织结构的完整性,是成功治疗和预防喉狭窄等并发症的关键。OBJECTIVE To study the experience of treatment of blunt laryngeal trauma to reduce the complications. METHODS The clinical data of 31 cases with blunt laryngeal trauma were retrospectively analyzed. RESULTS Three cases without dislocation fracture of thyroid cartilage, but with I-I1 degree dyspnea, were cured through inhalation of oxygen, ultrasonic atomizing inhalation, antibiotics and corticosteroids.Twenty eight cases with severe dyspnea underwent emergency tracheotomy, exploration and reconstruction of larynx. After operation, 5 cases left hoarseness. One case presented laryngostenosis and underwent second operation for resection of scar tissue. Then the laryngeal dilation was performed. The trachealtube was removed 3 months later. At last, all of the cases got recovered without complications after follow up for more than one year.

关 键 词：喉 外伤 外科手术 手术后并发症 喉狭窄 

分 类 号：R767.8[医药卫生—耳鼻咽喉科]