Jain Rajiv Kumar, Chakraborty Priyanko, Joshi Purnima, Pradhan Sidharth, Kumari Rakhi
Department of E.N.T, IMS BHU, Flat no 114, Ambrosia Apartments, Lanka, Varanasi, Uttar Pradesh 221005 India.
Department of E.N.T, IMS BHU, Room No-215, Susruta Hostel, Trauma center campus, Varanasi, Uttar Pradesh 221005 India.
Indian J Otolaryngol Head Neck Surg. 2019 Oct;71(Suppl 1):352-357. doi: 10.1007/s12070-018-1307-6. Epub 2018 May 12.
Neck contains several vital structures, in a small close space, in complex relationship to each other, and unprotected by any bony framework. Any injury to this crucial region, hence mostly becomes an acute emergency. Appropriately managing the same has always been a point of constant discussion amongst head and neck surgeons. The basic aim of the study was to discuss the management, comorbidities, prognosis and associated complications encountered in a series of patients with penetrating neck trauma (piercing platysma), presenting to the emergency over a period of 1 year. Combat injuries and patients declared as brought dead at the time of first examination were excluded. This was a retrospective study of patients with cut throat injury, managed at a tertiary center of northern India from June 2014 to September 2015. Following management in the ER as per ATLS guidelines, all patients were then operated for specific injuries. Graph pad software was used for statistical analysis. Of the 15 patients studied in total, 11 (73.3%) were males. The mean patient age was 33.67 years. Mean duration of presentation was 20.85 h. 60% patients had homicidal injuries. Tracheostomy and Ryle's tube insertion was done in 8 (53.3%) patients. Exploration and surgical repair was done in all patients without any mortality. 4 patients developed post-operative complications. Mean duration of hospital stay was 9.2 days. Immediate resuscitation followed by exploration and primary repair is a must in all patients of penetrating neck injury.
颈部包含多个重要结构，它们处于狭小紧密的空间内，相互之间关系复杂，且没有任何骨骼框架的保护。因此，该关键区域的任何损伤大多会成为急性紧急情况。对头颈部外科医生来说，妥善处理此类情况一直是个持续讨论的问题。本研究的基本目的是探讨一系列穿透性颈部创伤（穿透颈阔肌）患者在1年时间里到急诊就诊时的处理方法、合并症、预后及相关并发症。战斗伤患者以及在首次检查时被宣布已死亡的患者被排除在外。这是一项对2014年6月至2015年9月在印度北部一家三级中心接受治疗的割喉伤患者的回顾性研究。按照ATLS指南在急诊室进行处理后，所有患者均针对具体损伤进行了手术。使用Graph pad软件进行统计分析。在总共研究的15例患者中，11例（73.3%）为男性。患者平均年龄为33.67岁。平均就诊时间为20.85小时。60%的患者为他杀性损伤。8例（53.3%）患者进行了气管切开术和插入鼻胃管。所有患者均进行了探查和手术修复，无一例死亡。4例患者出现术后并发症。平均住院时间为9.2天。对于所有穿透性颈部损伤患者，必须立即进行复苏，随后进行探查和一期修复。
