面部枪伤后，气管切开术适合用于气道的固定吗？
Is tracheostomy suitable for securing airway after facial firearm injuries?
机构信息
Department of Pediatrics, Medical Faculty of Gazi University, Turkey (Oksan D, Burcu BF); Department of Pediatrics, Dr. Sami Ulus Children's Health and Disease Education and Research Hospital, Ankara, Turkey (Sebahat Y).
出版信息
World J Emerg Med. 2011;2(4):307-9. doi: 10.5847/wjem.j.1920-8642.2011.04.012.
BACKGROUND
Head and neck region have many vital structures, and facial firearm injuries (FFIs) more likely lead to life-threatening situations than other body injuies. These injuries have high potential of airway compromise associated with significant morbidity and mortality.
METHODS
We describe an 11-year-old boy who had received tracheostomy after a FFI complicated with pneumothorax and subcutaneous emphysema 8 hours after the procedure. The patient was treated at the Department of Emergency and Critical Care, Gazi University School of Medicine, Turkey.
RESULTS
The patient was discharged without any complications from the Critical Care Unit after treatment for five days.
CONCLUSIONS
Airway management is of utmost importance in resuscitation of FFI, but it is always difficult to secure via the orotracheal route due to the deformed facial structures. Tracheostomy is an option for airway management in FFI affecting head and neck region. However, tracheostomy may be associated with life-threatening complications, which should be closely monitored with early intervention.
背景
头颈部有许多重要结构，面部火器伤（FFIs）比其他身体损伤更有可能导致危及生命的情况。这些损伤有很高的气道损伤风险，伴随显著的发病率和死亡率。
方法
我们描述了一名 11 岁男孩，他在接受面部火器伤 8 小时后出现气胸和皮下气肿，随后接受了气管切开术。该患者在土耳其加济大学医学院急诊和重症监护科接受治疗。
结果
患者在重症监护病房接受治疗五天后，无任何并发症出院。
结论
气道管理在面部火器伤的复苏中至关重要，但由于面部结构变形，经口气管插管通常难以实现。对于影响头颈部的面部火器伤，气管切开术是一种气道管理的选择。然而，气管切开术可能会导致危及生命的并发症，应密切监测并早期干预。
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