Mahmoodie Mohsen, Sanei Behnam, Moazeni-Bistgani Mohammad, Namgar Mohammad
Department of Surgery, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, IR Iran.
Department of Surgery, Faculty of Medicine, Shahrekord University of Medical Sciences, Shahrekord, IR Iran.
Arch Trauma Res. 2012 Spring;1(1):14-8. doi: 10.5812/atr.5308. Epub 2012 Jun 1.
The neck region contains a high density of vital organ structures within a relatively small and unprotected anatomic region, making it one of the most vulnerable areas of the body for all types of injuries.
In this article, we studied penetrating neck trauma cases in Alzahra Hospital over a 10-year period.
In this retrospective, descriptive, analytical study, penetrating neck trauma cases admitted to Alzahra Hospital between April 2000 and April 2010 were analyzed for epidemiology, mechanism of trauma, zone of trauma, therapeutic method, injuries to other organs, complications, and mortality.
Among 192 penetrating neck injuries, the mean age at the time of injury was 25.08 ± 15.02 years. Of these cases, 96.4% occurred in men. The most common mechanisms of trauma was stab wounds (85.93%). In 56.3% of penetrating neck injuries, zone 2 was involved. Neck exploration was positive in 84.4% of cases, and 52.1% of patients underwent surgery. Vascular exploration was the most common cause of surgery (67.2% of patients). The most common surgical intervention was vein ligation (50.8% of cases). In 11.98% of cases, another organ injury occurred simultaneously, and chest injury was the most common coexisting problem (65.2%). Complications were reported in 9.3% of patients, and the need for intubation was the most common complication (5.2% of patients). Mortality rate was 1.5%.
According to the findings of this study, the most common cause of penetrating neck injuries was stab wounds, and the majority of patients were young men, therefore, preventive measures should be implemented. Because of fatal complications associated with neck injuries, we recommend early neck exploration in unstable cases or when injuries are deeper than the platysma.
颈部区域在相对较小且无保护的解剖区域内包含高密度的重要器官结构，使其成为身体所有类型损伤中最脆弱的部位之一。
在本文中，我们研究了阿尔扎赫拉医院10年间的穿透性颈部创伤病例。
在这项回顾性、描述性、分析性研究中，对2000年4月至2010年4月期间入住阿尔扎赫拉医院的穿透性颈部创伤病例进行了流行病学、创伤机制、创伤区域、治疗方法、其他器官损伤、并发症和死亡率分析。
在192例穿透性颈部损伤中，受伤时的平均年龄为25.08±15.02岁。其中，96.4%发生在男性身上。最常见的创伤机制是刺伤（85.93%）。在56.3%的穿透性颈部损伤中，第2区受累。84.4%的病例颈部探查呈阳性，52.1%的患者接受了手术。血管探查是最常见的手术原因（67.2%的患者）。最常见的手术干预是静脉结扎（50.8%的病例）。在11.98%的病例中，同时发生了另一器官损伤，胸部损伤是最常见的并存问题（65.2%）。9.3%的患者报告有并发症，最常见的并发症是需要插管（5.2%的患者）。死亡率为1.5%。
根据本研究的结果，穿透性颈部损伤最常见的原因是刺伤，且大多数患者为青年男性，因此应实施预防措施。由于颈部损伤会导致致命并发症，我们建议在不稳定病例或损伤深度超过颈阔肌时尽早进行颈部探查。
