Pate J W, Casini M
Am Surg. 1980 Jan;46(1):38-43.
While routine formal exploration for all neck wounds penetrating the platysma remains a safe policy, our experience indicates that it is not necessarily the best policy in large, well-staffed teaching hospitals with extensive trauma services. Careful and repeated physical examinations and observations supplemented by simple radiograph examinations allowed selection of a large group of patients who were satisfactorily treated by simple wound closure and clinical observations. Aggressive emergency room management and adequate exposure and repair of vascular injuries prevented cerebral damage so common in previous reports.
虽然对所有穿透颈阔肌的颈部伤口进行常规正规探查仍是一种安全的策略，但我们的经验表明，在配备充足人员、拥有广泛创伤服务的大型教学医院里，这不一定是最佳策略。仔细且反复的体格检查和观察，辅以简单的X线检查，使得能够挑选出一大组通过简单伤口缝合和临床观察就能得到满意治疗的患者。积极的急诊室处理以及对血管损伤进行充分的暴露和修复，预防了以往报告中常见的脑损伤。
