Ngakane H, Muckart D J, Luvuno F M
Department of Surgery, University of Natal Medical School, Durban, South Africa.
Br J Surg. 1990 Aug;77(8):908-10. doi: 10.1002/bjs.1800770822.
A study of the conservative treatment of 109 patients with penetrating neck injuries was carried out over 3 years. Patients with clinical or radiological evidence of injury to the oesophagus or trachea were included in the study while nine patients with major vascular trauma were explored immediately and excluded. Three late vascular operations were performed. The remaining 106 patients were treated conservatively. There were two deaths, both from associated injuries. The remaining 104 patients were treated successfully with only three cases of minor wound sepsis. We conclude that oesophageal and tracheal injuries after stab injuries and low velocity gunshot wounds can be treated successfully by non-operative treatment.
在3年时间里，对109例颈部穿透伤患者进行了保守治疗研究。有食管或气管损伤临床或放射学证据的患者纳入本研究，而9例有严重血管创伤的患者立即接受探查并被排除。进行了3例晚期血管手术。其余106例患者接受保守治疗。有2例死亡，均死于相关损伤。其余104例患者治疗成功，仅3例发生轻微伤口感染。我们得出结论，刺伤和低速枪伤后的食管和气管损伤可以通过非手术治疗成功治愈。
