Hall J R, Reyes H M, Meller J L
Department of Surgery, Cook County Hospital, Chicago, IL 60612.
J Trauma. 1991 Dec;31(12):1614-7. doi: 10.1097/00005373-199112000-00008.
Over a 4-year period, 1,237 children under 16 years of age were managed at our level-I pediatric trauma center, of which 24 (1.9%) had zone-II penetrating neck injuries. Six of these 24 children (25%) were explored surgically with positive findings in four and negative findings in two neck explorations; five children (21%) underwent radiologic or endoscopic studies and were observed; 13 (54%) were observed only and did not require studies or exploration. Nonoperative observation of penetrating zone-II neck injuries is safe and the procedure of choice if active observation can be performed and the facilities for immediate operative intervention are available.
在4年期间，1237名16岁以下儿童在我们的一级儿科创伤中心接受治疗，其中24名（1.9%）有Ⅱ区颈部穿透伤。这24名儿童中有6名（25%）接受了手术探查，4例探查结果阳性，2例颈部探查结果阴性；5名儿童（21%）接受了放射学或内镜检查并进行了观察；13名（54%）仅接受了观察，无需检查或探查。对于Ⅱ区颈部穿透伤，非手术观察是安全的，并且如果能够进行积极观察且具备立即进行手术干预的设施，这是首选的治疗方法。
