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聚焦气道超声在疑似喉外伤早期气道评估中的新作用。

Novel role of focused airway ultrasound in early airway assessment of suspected laryngeal trauma.

作者信息

Adi Osman, Sum Kok Meng, Ahmad Azma Haryaty, Wahab Mahathar Abd, Neri Luca, Panebianco Nova

机构信息

Department of Emergency and Trauma, Raja Permaisuri Bainun Hospital, Jalan Raja Ashman (Jalan Hospital), Jalan Raja Ashman, 30400, Ipoh, Perak, Malaysia.

Department of Anesthesiology & Intensive Care, Beacon Hospital, No. 1, Jalan 215, Off Jalan Templer, Section 51, 46050, Petaling Jaya, Selangor, Malaysia.

出版信息

Ultrasound J. 2020 Aug 12;12(1):37. doi: 10.1186/s13089-020-00186-3.

Abstract

BACKGROUND

Upper airway injury secondary to blunt neck trauma can lead to upper airway obstruction and potentially cause a life-threatening condition. The most important aspect in the care of laryngeal trauma is to establish a secure airway. Focused airway ultrasound enables recognition of important upper airway structures, offers early opportunity to identify life-threatening upper airway injury, and allows assessment of the extent of injury. This information that can be obtained rapidly at the bedside has the potential to facilitate rapid intervention.

CASE PRESENTATION

We report a case series that illustrate the diagnostic value of focused airway ultrasound in the diagnosis of laryngeal trauma in patients presenting with blunt neck injury.

CONCLUSION

Early recognition, appropriate triaging, accurate airway evaluation, and prompt management of such injuries are essential. In this case series, we introduce the potential role of focused airway ultrasound in suspected laryngeal trauma, and the correlation of these exam findings with that of computed tomography (CT) scanning, based on the Schaefer classification of laryngeal injury.

摘要

背景

钝性颈部创伤继发的上气道损伤可导致上气道梗阻,并可能引发危及生命的状况。喉外伤护理中最重要的方面是建立安全的气道。聚焦气道超声能够识别重要的上气道结构,提供早期机会来识别危及生命的上气道损伤,并允许评估损伤程度。这种可在床边迅速获得的信息有可能促进快速干预。

病例报告

我们报告了一系列病例,这些病例说明了聚焦气道超声在诊断钝性颈部损伤患者喉外伤中的诊断价值。

结论

早期识别、适当分诊、准确的气道评估以及对此类损伤的及时处理至关重要。在本病例系列中,我们介绍了聚焦气道超声在疑似喉外伤中的潜在作用,以及基于喉损伤的谢弗分类法,这些检查结果与计算机断层扫描(CT)扫描结果的相关性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd44/7419387/fd75fb5aa3ce/13089_2020_186_Fig1_HTML.jpg

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