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颈部钝性创伤后出现完全性环气管分离。

Complete cricotracheal separation following blunt trauma to the neck.

作者信息

Hermon A, Segal K, Har-El G, Abraham A, Sidi J

机构信息

Department of Otolaryngology, Head & Neck Surgery, Beilinson Medical Center, Petah Tikva, Israel.

出版信息

J Trauma. 1987 Dec;27(12):1365-7. doi: 10.1097/00005373-198712000-00009.

Abstract

We report a case of complete cricotracheal transection with wide separation of the ends, a rare injury. Because of the good general and respiratory condition of the patient on admission, the pathognomonic signs of laryngeal injury were not noticed, causing an unnecessary delay in treatment. Deteriorating respiratory status with progressing cervical subcutaneous emphysema brought up the diagnosis of laryngotracheal injury. Treatment was immediate and included tracheotomy and primary end-to-end anastomosis.

摘要

我们报告一例环状气管完全横断且断端广泛分离的病例,这是一种罕见的损伤。由于患者入院时一般情况和呼吸状况良好,未注意到喉损伤的特征性体征,导致治疗出现不必要的延误。随着颈部皮下气肿进展,呼吸状况恶化,从而诊断出喉气管损伤。治疗立即进行,包括气管切开术和一期端端吻合术。

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