开放性颈部损伤的结局
Outcomes of open neck injuries.
作者信息
Noh Dongsub, Choi Jin Ho
机构信息
Department of Thoracic and Cardiovascular Surgery, Daejeon Eulji Medical Center, Eulji University, Daejeon, Korea.
出版信息
J Trauma Inj. 2022 Sep;35(3):168-172. doi: 10.20408/jti.2021.0056. Epub 2022 Jun 29.
PURPOSE
The neck is a particularly critical region for penetrating injuries due to the close proximity of the trachea, esophagus, blood vessels, and the spinal cord. An open neck injury has the potential for serious morbidity and mortality. The purpose of this study is to evaluate the assessment and management of open neck injuries.
METHODS
In this retrospective study, open neck injury patients who were admitted to the Trauma Center of Daejeon Eulji Medical Center, Eulji University between December 2015 and December 2017 were analyzed for epidemiology, the mechanism of trauma, the injured organ, complications, and mortality.
RESULTS
Thirty-two patients presented with open neck injuries. All patients underwent computed tomographic angiography to evaluate their injuries once their vital signs stabilized. Among these patients, 27 required surgical treatment. The most commonly injured organ was the airway. There were five deaths, and the main cause of death was bleeding. Mortality was associated with the initial systolic blood pressure at the hospital and Glasgow Coma Scale.
CONCLUSIONS
Mortality from open neck injuries was associated with initial systolic blood pressure at the hospital and Glasgow Coma Scale.
目的
由于气管、食管、血管和脊髓位置相邻，颈部是穿透伤的一个特别关键的区域。开放性颈部损伤有导致严重发病和死亡的可能性。本研究的目的是评估开放性颈部损伤的评估和处理。
方法
在这项回顾性研究中，对2015年12月至2017年12月期间收治于蔚山大学乙支医学中心创伤中心的开放性颈部损伤患者进行了流行病学、创伤机制、受伤器官、并发症和死亡率分析。
结果
32例患者出现开放性颈部损伤。所有患者生命体征稳定后均接受了计算机断层血管造影以评估损伤情况。其中，27例需要手术治疗。最常受伤的器官是气道。有5例死亡，主要死亡原因是出血。死亡率与入院时的初始收缩压和格拉斯哥昏迷量表相关。
结论
开放性颈部损伤的死亡率与入院时的初始收缩压和格拉斯哥昏迷量表相关。
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