Chakraborty Debdulal, Das Chiranjib, Verma Arvind Kumar, Hansda Rajesh
BSMCH, Bankura, India.
BSMCH, Bankura, India ; Ramkrishnapally, Batanagar, South 24 Parganas, 700140 India.
Indian J Otolaryngol Head Neck Surg. 2017 Mar;69(1):35-41. doi: 10.1007/s12070-016-1033-x. Epub 2016 Nov 29.
Cut throat injuries are one of the emergency conditions managed by ENT specialists. If not treated in time, they may lead to death. Prevention of these complications depends on immediate resuscitation by securing the airway by tracheostomy or intubation, prompt control of hemorrhage and blood replacement. The present study was conducted to study the sociodemographic profile of patients of cut throat injury, motives behind cut throat injury, site and depth of the injury, treatment given at our hospital and outcome. A prospective study was done in the department of ENT in a tertiary care hospital of rural West Bengal between January 2014 and December 2015. Patients who were brought dead and minor neck injury were excluded from the study. Endotracheal intubation where possible, or emergency tracheostomy was done below the level of injury. Ryle's tube was inserted where necessary. Injured structures were repaired in layers. Among 22 patients there were 18 male and 4 female. The peak age of incidence was in the 4th decade of life. Suicidal cut throat injury was the most common mode of injury. Most of the injuries were in the zone II (72.73%). Three patients died due to severe haemorrhage and/or aspiration. Decannulation was possible in 9 out of 12 patients. Cut throat injuries have become a major cause of morbidity and mortality in our society. Patients with injury of larynx or upper trachea need preliminary tracheostomy. Post-operative endoscopy identifies nerve injuries and stenosis problems.
割喉伤是耳鼻喉科专家处理的紧急情况之一。若不及时治疗，可能导致死亡。预防这些并发症取决于通过气管切开术或插管确保气道通畅来立即进行复苏、迅速控制出血和输血。本研究旨在探讨割喉伤患者的社会人口学特征、割喉伤背后的动机、损伤的部位和深度、我院给予的治疗及结果。2014年1月至2015年12月期间，在西孟加拉邦农村一家三级护理医院的耳鼻喉科进行了一项前瞻性研究。已死亡患者和颈部轻伤患者被排除在研究之外。尽可能进行气管内插管，或在损伤平面以下进行紧急气管切开术。必要时插入鼻胃管。分层修复受损结构。22例患者中，男性18例，女性4例。发病高峰年龄在40岁。自杀性割喉伤是最常见的损伤方式。大多数损伤位于Ⅱ区（72.73%）。3例患者因严重出血和/或误吸死亡。12例患者中有9例拔管成功。割喉伤已成为我们社会发病和死亡的主要原因。喉部或上气管损伤的患者需要初步气管切开术。术后内镜检查可发现神经损伤和狭窄问题。
