轻微创伤后下咽穿孔：一例报告及文献综述
Hypopharyngeal perforation following minor trauma: a case report and literature review.
作者信息
Smith D, Woolley S
机构信息
University Hospital of Wales, Cardiff, UK.
出版信息
Emerg Med J. 2006 Jan;23(1):e7. doi: 10.1136/emj.2003.012187.
Abstract
Hypopharyngeal perforation is mainly reported in association with high velocity road traffic accidents, or with low velocity direct blows to the neck. We report a case of hypopharyngeal perforation following a low velocity motorcycle accident where neither of these mechanisms of injury was apparent. A 52 year old man was referred from the emergency department (ED) with a sore throat and dysphagia, following a low speed side impact accident. A gastrograffin swallow demonstrated a posterior pharyngeal wall tear. After 11 days of conservative hospital treatment, he recovered and was discharged. The presumed mechanism of injury in this case was cervical spine hyperextension without cervical compression.
摘要
下咽穿孔主要见于高速道路交通事故，或颈部受到低速直接撞击。我们报告一例低速摩托车事故后发生下咽穿孔的病例，其中这些损伤机制均不明显。一名52岁男性在低速侧面碰撞事故后因咽痛和吞咽困难从急诊科转诊。泛影葡胺吞咽造影显示咽后壁撕裂。经过11天的保守治疗，他康复出院。该病例推测的损伤机制是颈椎过度伸展而无颈椎受压。
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