Chatterjee Debnath, Agarwal Rita, Bajaj Lalit, Teng Sarena N, Prager Jeremy D
Department of Anesthesiology, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, CO, USA.
Department of Anesthesiology, Lucile Packard Children's Hospital, Stanford University, Palo Alto, CA, USA.
Paediatr Anaesth. 2016 Feb;26(2):132-8. doi: 10.1111/pan.12791. Epub 2015 Nov 4.
Pediatric laryngotracheal injuries from blunt neck trauma are extremely rare, but can be potentially catastrophic. Early diagnosis and skillful airway management is critical in avoiding significant morbidity and mortality associated with these cases. We present a case of a patient who suffered a complete tracheal transection and cervical spine fracture following a clothesline injury to the anterior neck. A review of the mechanisms of injury, clinical presentation, initial airway management, and anesthetic considerations in laryngotracheal injuries from blunt neck trauma in children are presented.
小儿因钝性颈部创伤导致的喉气管损伤极为罕见，但可能具有潜在的灾难性。早期诊断和熟练的气道管理对于避免这些病例相关的严重发病率和死亡率至关重要。我们报告一例患者，其在前颈部受到晾衣绳损伤后发生了气管完全横断和颈椎骨折。本文还介绍了小儿钝性颈部创伤所致喉气管损伤的损伤机制、临床表现、初始气道管理及麻醉注意事项。
