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[伴有多处骨折和气道受损的外部严重喉部创伤]

[External severe laryngeal trauma with multiple fractures and airway compromise].

作者信息

Pino Rivero V, González Palomino A, Pardo Romero G, Marcos García M, Trinidad Ruiz G, Pantoja Hernández C G, Keituqwa Yáñez T, Blasco Huelva A

机构信息

Complejo Hospitalario Infanta Cristina, Badajoz.

出版信息

An Otorrinolaringol Ibero Am. 2005;32(3):239-44.

Abstract

External laryngeal traumas are rare but clinically can cause important life-threatening injuries. We report the case of a 33 yeras old male who suffered a severe traffic accident: TCE, facial trauma with multiple fractures and laryngeal trauma with fracture of the thyroid cartilage and the hyoid bone. Because an important edema in the airway, it was not possible an orotracheal intubation and he required urgent coniotomy with later reconstruction surgery and tracheostomy. Actually our patient has been decanulated and the fibroscopic image of the larynx and its functionality is correct.

摘要

外部喉部创伤很少见,但临床上可能导致严重的危及生命的损伤。我们报告一例33岁男性,他遭遇了严重的交通事故:创伤性脑损伤、多处骨折的面部创伤以及甲状腺软骨和舌骨骨折的喉部创伤。由于气道出现严重水肿,无法进行经口气管插管,他需要紧急环甲膜切开术,随后进行重建手术和气管造口术。目前我们的患者已拔除气管套管,喉部的纤维镜检查图像及其功能正常。

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