Krekorian E A
Laryngoscope. 1975 Dec;85(12 pt 1):2069-86. doi: 10.1288/00005537-197512000-00013.
The patient who sustains trauma to the neck may present with symptoms strongly suggesting an acute injury to the larynx. The laryngeal injury may be real or imagined; however, the clinical manifestations may be so overwhelmingly indicative of a laryngeal injury that a small tear in the adjacent upper gut may be overlooked. Failure to diagnose an upper gut injury can result in a confusing parade of symptoms and signs, great morbidity and even death. Two cases are presented, each illustrating certain unique aspects of upper gut and laryngeal injuries. The history, diagnosis, operative management and clinical course of each patient are described. Attention is given to the unique facets of each case which make upper gut injury a fascinating and challenging surgical entity. Each case is discussed in terms of diagnostic and management errors or areas of controversy. Finally, certain general concepts of management of upper gut injuries are described.
颈部遭受创伤的患者可能会出现强烈提示喉部急性损伤的症状。喉部损伤可能是真实存在的，也可能是臆想的；然而，临床表现可能极具喉部损伤的特征，以至于相邻上段消化道的小撕裂伤可能被忽视。未能诊断出上段消化道损伤可能会导致一系列令人困惑的症状和体征、严重的发病率甚至死亡。本文介绍了两例病例，每例都说明了上段消化道和喉部损伤的某些独特方面。描述了每位患者的病史、诊断、手术处理和临床过程。关注了每个病例的独特方面，这些方面使上段消化道损伤成为一个引人入胜且具有挑战性的外科实体。针对每个病例讨论了诊断和处理错误或存在争议的领域。最后，描述了上段消化道损伤处理的某些一般概念。
