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抗凝及颈部创伤情况下危及生命的舌下血肿

Life-Threatening Sublingual Hematoma in the Setting of Anticoagulation and Neck Trauma.

作者信息

Huang Derrick, Wanchu Rohan, Walker Joshua, Ganti Latha

机构信息

Emergency Medicine, HCA Florida Ocala Hospital, Ocala, USA.

Emergency Medicine, University of Central Florida College of Medicine, Orlando, USA.

出版信息

Cureus. 2022 May 13;14(5):e24974. doi: 10.7759/cureus.24974. eCollection 2022 May.

DOI:10.7759/cureus.24974
PMID:35706743
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9187252/
Abstract

Sublingual hematoma is a rare and life-threatening emergency department presentation. The rich vascular supply of the tongue results in a predisposition for rapid hemorrhage secondary to lingual trauma and developing lethal upper airway obstruction. In the setting of a patient with neck trauma, assessment of risk factors, such as the use of anticoagulation, and clinical signs of vascular injury are essential for rapid diagnosis and mobilization of resources for airway protection.

摘要

舌下血肿是急诊科罕见且危及生命的病症表现。舌部丰富的血管供应使其在遭受舌部创伤后容易迅速出血，并引发致命的上气道梗阻。对于颈部创伤患者，评估危险因素（如抗凝药物的使用）以及血管损伤的临床体征，对于快速诊断和调动气道保护资源至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/975c/9187252/135f95ab1e17/cureus-0014-00000024974-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/975c/9187252/9d183cff8650/cureus-0014-00000024974-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/975c/9187252/135f95ab1e17/cureus-0014-00000024974-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/975c/9187252/9d183cff8650/cureus-0014-00000024974-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/975c/9187252/135f95ab1e17/cureus-0014-00000024974-i02.jpg

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本文引用的文献

1
Traumatic lingual haematoma: Another unusual cause of upper airway obstruction in systemic lupus erythematosus.创伤性舌血肿：系统性红斑狼疮中另一种导致上呼吸道梗阻的罕见原因。
Trauma Case Rep. 2019 Jul 19;23:100226. doi: 10.1016/j.tcr.2019.100226. eCollection 2019 Oct.
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Case report: Traumatic lingual hematoma.病例报告：创伤性舌血肿。
Trauma Case Rep. 2019 Feb 15;20:100177. doi: 10.1016/j.tcr.2019.100177. eCollection 2019 Apr.
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Maxillofacial and neck trauma: a damage control approach.颌面及颈部创伤：损伤控制方法
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Western Trauma Association critical decisions in trauma: penetrating neck trauma.西部创伤协会创伤关键决策：穿透性颈部创伤
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Massive sublingual hematoma secondary to anticoagulant therapy complicated by a traumatic denture: a case report.抗凝治疗继发巨大舌下血肿并伴有外伤性义齿：一例报告
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A traumatic swollen tongue.
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Emergency airway management in a case of lingual haematoma.舌部血肿病例的紧急气道管理
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Acute enlargement of the tongue.舌头急性肿大。
Br J Oral Maxillofac Surg. 1993 Oct;31(5):321-4. doi: 10.1016/0266-4356(93)90071-4.