Thaware Pooja, Trivedi Saurabh, Lakra Anshu, Yunus Mohd
Trauma and Emergency Medicine, All India Institute of Medical Sciences, Bhopal, Bhopal, IND.
Cureus. 2024 Jul 23;16(7):e65174. doi: 10.7759/cureus.65174. eCollection 2024 Jul.
Self-inflicted cut-throat injuries, often associated with severe psychiatric disorders and exacerbated by socioeconomic factors, present significant medical complexities. Here, we present the case of a 45-year-old male with major depressive disorder who attempted suicide with a sword, resulting in complete tracheal transection. Upon admission, he presented with severe respiratory distress and hemorrhage, necessitating immediate fluid resuscitation and immediate airway securing with pediatric fiberoptic bronchoscopy, which successfully stabilized his airway. The surgical intervention included end-to-end tracheal anastomosis and T-tube placement without immediate complications. Postoperatively, the patient required intensive care with ventilator support and psychiatric intervention. Successful management of severe self-inflicted neck injuries relies on prompt airway control, precise surgical techniques, and comprehensive postoperative care to mitigate complications such as sepsis and tracheal stenosis.
自残割喉伤通常与严重的精神疾病相关，并因社会经济因素而加剧，带来了重大的医学复杂性。在此，我们报告一例45岁患有重度抑郁症的男性，他用剑试图自杀，导致气管完全横断。入院时，他出现严重的呼吸窘迫和出血，需要立即进行液体复苏，并通过小儿纤维支气管镜立即确保气道安全，这成功稳定了他的气道。手术干预包括气管端端吻合术和T形管置入，无即刻并发症。术后，患者需要重症监护，接受呼吸机支持和精神科干预。成功处理严重的自残颈部损伤依赖于迅速的气道控制、精确的手术技术以及全面的术后护理，以减轻诸如败血症和气管狭窄等并发症。
