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[咽喉部损伤的救命环甲膜切开术——病例研究]

[Life-saving cricothyroidotomy in throat and laryngeal injuries - case study].

作者信息

Chrzanowska-Wąsik Maja, Sobiech Leszek, Matsibora Vadim, Stankiewicz Tomasz, Goniewicz Mariusz, Bednarz Kamil, Rzońca Patryk

机构信息

Zakład Ratownictwa Medycznego, Wydział Nauk o Zdrowiu, Uniwersytet Medyczny, Lublin, Polska.

Szpitalny Oddział Ratunkowy Wojewodzkiego Szpitala Specjalistycznego Im. Stefana Kardynała Wyszyńskiego, Lublin, Polska.

出版信息

Wiad Lek. 2017;70(2 pt 2):410-414.

Abstract

The percentage of laryngeal injuries managed by hospital emergency departments is low. Currently, with the Emergency Medical Services working more efficiently, diagnostic imaging tools being more available and more precise surgical procedures after the injury, the mortality and disability rate among trauma victims is systematically decreasing. The given paper presents a case of a multiple organ trauma, including trauma to the larynx and throat, experienced during agricultural works. Life-saving surgical cricothyroidotomy using a tracheal tube was performed after preliminary diagnosis of the patient. This procedure, despite extensive traumatic injuries to the airways, led to airway management, patient stabilization and allowed to perform further diagnostic and therapeutic procedures.

摘要

医院急诊科处理的喉部损伤病例比例较低。目前,随着紧急医疗服务效率的提高、诊断成像工具的普及以及损伤后更精确的外科手术,创伤受害者的死亡率和致残率正在系统性下降。本文介绍了一例在农业劳作期间发生的多器官创伤病例,包括喉部和咽喉部创伤。在对患者进行初步诊断后,采用气管导管进行了挽救生命的环甲膜切开术。尽管气道受到广泛创伤,但该手术实现了气道管理、患者稳定,并得以进行进一步的诊断和治疗程序。

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