Sofferman R A
Am J Surg. 1981 Apr;141(4):412-7. doi: 10.1016/0002-9610(81)90132-x.
Blunt trauma to the neck requires a systematic analysis of the laryngotrachea, the esophagus and the cervical spine in addition to general trauma considerations. Acute airway decompensation is best managed by tracheotomy, although if the situation permits, an orderly physical examination including indirect laryngoscopy and selected roentgenographic studies will yield an appropriate picture of the injury. Although broad guidelines are helpful, each case may dictate an individual therapeutic modification.
颈部钝性创伤除了要考虑一般创伤因素外，还需要对喉气管、食管和颈椎进行系统分析。急性气道代偿失调最好通过气管切开术处理，不过如果情况允许，进行包括间接喉镜检查和选定的X线检查在内的有序体格检查将有助于明确损伤情况。虽然宽泛的指导原则很有用，但每个病例可能都需要个别治疗调整。
