Zhang G L
People's Hospital, Beijing Medical University.
Zhonghua Wai Ke Za Zhi. 1992 Nov;30(11):670-2, 699-700.
Two patients with closed rupture of the cervical trachea secondary to blunt trauma, one secondary to neck injury and the other secondary to thoracic injury, were analysed with those reported else where (58). Signs and symptoms included subcutaneous emphysema, respiratory distress, hoarseness/dysphonia, dysphagia, hemoptysis and so on. We conclude that: (1) the diagnosis of blunt trauma of the cervical trachea requires a high index of suspicion, since this injury can easily be overlooked; (2) tracheostomy is the best means of airway control; (3) good long-term airway quality is best obtained by immediate repair of injuries.
分析了2例因钝性创伤导致颈段气管闭合性破裂的患者，其中1例继发于颈部损伤，另1例继发于胸部损伤，并与其他地方报道的病例（58例）进行了比较。体征和症状包括皮下气肿、呼吸窘迫、声音嘶哑/发音困难、吞咽困难、咯血等。我们得出以下结论：（1）颈段气管钝性创伤的诊断需要高度怀疑，因为这种损伤很容易被忽视；（2）气管切开术是控制气道的最佳方法；（3）通过立即修复损伤可获得最佳的长期气道质量。
