闭合性喉外伤的诊治进展  

Diagnostic and therapeutic progress of blunt laryngeal trauma

作　　者：潘中静 吕丹[1] PAN Zhongjing;Lü Dan(Department of Otorhinolaryngology&Head and Neck Surgery,West China Hospital of Sichuan University,Chengdu 610041,Sichuan,China)

机构地区：[1]四川大学华西医院耳鼻咽喉头颈外科,四川成都610041

出　　处：《山东大学耳鼻喉眼学报》2023年第1期124-131,共8页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：闭合性喉外伤是一种具有隐匿性、复杂的、可危及生命的损伤,可遗留严重影响生活质量的并发症。由于其早期症状无特异性,且常合并其他部位的严重损伤,早期易被漏诊或误诊。在损伤的急性期,保证和维持气道的稳定是成功救治的基础。延迟识别和不恰当的干预均会影响患者预后,导致其正常的呼吸、吞咽及发声功能恢复困难。因此需依据详细询问病史和查体、结合内镜及影像学等检查结果,必要时行颈部探查术,对损伤进行全面、准确的评估,以指导个体化治疗策略的制定。为了提高闭合性喉外伤的早期识别率,并为诊治方案的选择、相关并发症的处理提供思路,现对近年来闭合性喉损伤诊治的相关文献进行综述,针对治疗难点,总结诊治方案。Blunt laryngeal trauma is an insidious, complex, and life-threatening injury that can result in serious complications affecting the quality of life. Non-specific symptoms appear in the early stage of blunt laryngeal trauma, and these are often combined with severe injuries in other parts of the body. Therefore, initial misdiagnosis or delayed diagnosis may easily occur. In the acute phase of injury, having a stable airway is the cornerstone for successful treatment. Delayed recognition and inappropriate interventions can lead to poor prognosis, making the recovery to normal breathing, swallowing, and vocal function difficult. Therefore, based on detailed medical history and physical examination combined with endoscopy and imaging results, neck surgery is performed if deemed necessary to conduct a comprehensive and accurate assessment of the injury. As a result, the surgery can guide the formulation of individualized treatment strategies. To improve the early recognition rate of blunt laryngeal trauma and provide ideas for the selection of its diagnosis and treatment plan and the management of complications, this study reviews the latest relevant literature and summarizes the diagnostic and therapeutic plans of the disease according to the difficulty in management.

关 键 词：喉外伤 闭合性损伤 喉气管狭窄 气道管理 

分 类 号：R767.8[医药卫生—耳鼻咽喉科]