Biétry Damien, Exadaktylos Aristomenis, Müller Thomas, Zbären Peter, Caversaccio Marco, Arnold Andreas
Department of Otorhinolaryngology, Head and Neck Surgery Inselspital, University of Bern, 3010, Bern, Switzerland.
Department of Emergency Medicine, Inselspital, University of Bern, 3010, Bern, Switzerland.
Eur Arch Otorhinolaryngol. 2015 Dec;272(12):3825-31. doi: 10.1007/s00405-014-3471-y. Epub 2014 Dec 28.
Sharp neck injuries in suicidal intention often present as serious emergency situations with the need for an immediate diagnosis and treatment. We report our study of the clinical evolution of this emergency condition. This study investigates the cases of sharp neck injuries in suicidal intention treated at our institution between 2000 and 2010. Patient records were collected in a retrospectively reviewed and analyzed database. The current literature was compared to our findings. We found 36 cases (10 female and 26 male). The neck injuries were superficial and profound in 16 and 20 patients, respectively. Twenty-two patients were seen by the Head and Neck surgeon. A surgical neck exploration was necessary in 19 cases. Tracheal, laryngeal, pharyngeal and vascular injuries were found in one, five, three and three cases, respectively. The hospital stay ranged from 1 to 47 days. All the patients underwent emergency psychiatric assessment and were subsequently referred for psychiatric treatment. One patient died in the emergency room from an additional arterial injury to the wrist. Sharp neck injuries in suicidal intention treated with an interdisciplinary medical, surgical and psychiatric emergency assessment and treatment have low mortality and morbidity.
有自杀意图的锐器伤颈部常常表现为严重的紧急情况，需要立即诊断和治疗。我们报告了对这种紧急情况临床进展的研究。本研究调查了2000年至2010年间在我们机构接受治疗的有自杀意图的锐器伤颈部病例。患者记录收集于一个经回顾性审查和分析的数据库中。将当前文献与我们的研究结果进行了比较。我们发现了36例病例（10名女性和26名男性）。颈部损伤分别在16例和20例患者中为浅表伤和深部伤。22例患者由头颈外科医生诊治。19例患者需要进行颈部手术探查。分别在1例、5例、3例和3例中发现气管、喉、咽和血管损伤。住院时间为1至47天。所有患者均接受了紧急精神科评估，随后被转介接受精神科治疗。1例患者在急诊室因手腕额外的动脉损伤死亡。通过跨学科的医学、外科和精神科紧急评估与治疗的有自杀意图的锐器伤颈部患者死亡率和发病率较低。
