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[颈部创伤的诊断与外科治疗]

[The diagnosis and surgical treatment of neck wounds].

作者信息

Dolgorukov M I, Mikhaĭlov A P, Fokin A A, Kulagin V I, Karelov V S, Pashchenko S A, Tikhonov O P

出版信息

Vestn Khir Im I I Grek. 1999;158(6):47-51.

Abstract

The authors share their experiences with treatment of wounds of the neck in 210 patients. Major vessels were injured in 85 of them (40.5%), arterial vessels being injured in 19 patients, venous vessels in 23 patients. 43 patients had wounds of the hollow, parenchymatous organs and nerves. All the patients with wounds of the hollow and parenchymatous organs recovered. Lethality among the patients with wounds of the major vessels was 11.9% and was due to a combination of injuries of the vessels and blood loss incompatible with life. Active surgical treatment of penetrating wounds of the neck with careful revision of the wound, use of emergency esophagogastroduodenoscopy, laryngotracheobronchoscopy, X-ray examination allow the amount of diagnostic errors and lethality to be reduced.

摘要

作者分享了他们治疗210例颈部伤口患者的经验。其中85例(40.5%)主要血管受损,19例动脉血管受损,23例静脉血管受损。43例患者有中空、实质性器官和神经的伤口。所有中空和实质性器官伤口的患者均康复。主要血管伤口患者的死亡率为11.9%,原因是血管损伤和失血合并导致无法维持生命。对颈部穿透伤进行积极的手术治疗,仔细检查伤口,使用急诊食管胃十二指肠镜、喉镜气管支气管镜、X线检查,可减少诊断错误和死亡率。

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