Gotlib Tomasz
Katedra i Klinika Otolaryngologii Warszawskiego Uniwersytetu Medycznego.
Otolaryngol Pol. 2008;62(6):800-2. doi: 10.1016/S0030-6657(08)70366-4.
Traumatic retropharyngeal hematoma is a rare but potentially fatal condition that requires early diagnosis and treatment. Obstruction of the airways may develop insidiously, several hours after the trauma. Thus hospital admission with close observation is essential. Intubation can be difficult due to distorted anatomy. Surgical airway management is often necessary. In most of cases the treatment is conservative, however large hematomas may require drainage. We present a case of 85-years old women with retropharyngeal hematoma after minor blunt trauma of the neck without cervical fracture. Since respiration was not impaired airway intervention was not necessary. After 5 days of close observation the patient was discharged in good condition. Further recovery was uneventful.
创伤性咽后血肿是一种罕见但可能致命的疾病，需要早期诊断和治疗。气道梗阻可能在创伤后数小时内隐匿性发展。因此，住院并密切观察至关重要。由于解剖结构变形，插管可能会很困难。通常需要进行手术气道管理。在大多数情况下，治疗是保守的，然而大的血肿可能需要引流。我们报告一例85岁女性，在颈部轻度钝性创伤后发生咽后血肿，无颈椎骨折。由于呼吸未受影响，无需进行气道干预。经过5天的密切观察，患者状况良好出院。进一步恢复过程顺利。
