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颈部经咽枪伤并发颈椎骨髓炎

Cervical osteomyelitis complicating transpharyngeal gunshot wounds to the neck.

作者信息

Jones R E, Bucholz R W, Schaefer S D, Mumme M, Carder H M

出版信息

J Trauma. 1979 Aug;19(8):630-4. doi: 10.1097/00005373-197908000-00011.

DOI:10.1097/00005373-197908000-00011
PMID:469975
Abstract

Four cases of cervical osteomyelitis complicating transpharyngeal gunshot wounds to the neck are discussed. Thorough debridement of bone and soft tissue, adequate drainage, broad-spectrum antibiotics, and rigid immobilization of the cervical spine are essential for the successful treatment of this complication. Inadequate or delayed treatment may result in prolonged hospitalization, the need for multiple surgical procedures, and possible neurologic deficits.

摘要

本文讨论了4例颈部经咽枪伤并发颈椎骨髓炎的病例。对骨骼和软组织进行彻底清创、充分引流、使用广谱抗生素以及对颈椎进行严格固定是成功治疗该并发症的关键。治疗不充分或延迟可能导致住院时间延长、需要进行多次外科手术以及可能出现神经功能缺损。

相似文献

1
Cervical osteomyelitis complicating transpharyngeal gunshot wounds to the neck.颈部经咽枪伤并发颈椎骨髓炎
J Trauma. 1979 Aug;19(8):630-4. doi: 10.1097/00005373-197908000-00011.
2
The management of transpharyngeal gunshot wounds to the cervical spine.
Surg Gynecol Obstet. 1981 Jan;152(1):27-9.
3
"How I do it"--head and neck. A targeted problem and its solution. Treatment of transpharyngeal missile wounds to the cervical spine.
Laryngoscope. 1981 Jan;91(1):146-8. doi: 10.1288/00005537-198101000-00022.
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Pyogenic osteomyelitis of axial bones following civilian gunshot wounds.
Am J Surg. 1979 Mar;137(3):378-80. doi: 10.1016/0002-9610(79)90072-2.
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Extrapharyngeal (anterolateral) approach to the cervical spine.
Head Neck Surg. 1983 Sep-Oct;6(1):600-4. doi: 10.1002/hed.2890060111.
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Cervical spine osteomyelitis with delayed onset tetraparesis after penetrating wounds of the neck. A report of 2 cases.颈部穿透伤后迟发性四肢轻瘫的颈椎骨髓炎:2例报告
S Afr Med J. 1986 Feb 1;69(3):197-9.
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Access for repair of gunshot wound to the neck using the modified Attia approach in a combat setting.在战斗环境中,采用改良的阿提亚入路修复颈部枪伤。
J Oral Maxillofac Surg. 2010 Jun;68(6):1438-43. doi: 10.1016/j.joms.2009.10.013. Epub 2010 Mar 12.
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[Anatomical study of 5 serious neck wounds].[5例严重颈部创伤的解剖学研究]
Ann Otolaryngol Chir Cervicofac. 1973 Jul-Aug;90(7):470-3.
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[Gunshot neck wounds penetrating the oral cavity and pharynx, associated with cranio-cerebral injuries].[穿透口腔和咽部的颈部枪伤,伴有颅脑损伤]
Vestn Khir Im I I Grek. 1989 Aug;144(8):80-1.
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Thoracolumbar infections in penetrating injuries to the spine.脊柱穿透伤中的胸腰段感染
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Post-infectious ankylosis of the cervical spine in an army veteran: a case report.一名退伍军人感染后颈椎关节强硬:病例报告
Chiropr Man Therap. 2018 Oct 30;26:40. doi: 10.1186/s12998-018-0211-1. eCollection 2018.
2
Gunshot wounds of the spine: should retained bullets be removed to prevent infection?脊柱枪伤:是否应取出残留子弹以预防感染?
Ann R Coll Surg Engl. 1994 Mar;76(2):85-7.