Shaw C B, Bawa R, Snider G, Wax M K
Department of Otolaryngology, West Virginia University Hospital, Morgantown 26506, USA.
Otolaryngol Head Neck Surg. 1995 Oct;113(4):485-8. doi: 10.1016/S0194-59989570091-9.
We describe a case of retropharyngeal hematoma after a cervical hyperextension injury in an elderly man. Progressive hoarseness, dysphagia, and dyspnea were the early signs that necessitated oral endotracheal intubation and, ultimately, tracheostomy. The hematoma was explored and drained through a lateral cervical approach, and a bleeding vessel in a small tear in the anterior spinous ligament was noted and cauterized. The patient recovered uneventfully.
我们描述了一例老年男性因颈椎过伸损伤导致咽后血肿的病例。渐进性声音嘶哑、吞咽困难和呼吸困难是早期症状，这些症状使得有必要进行口腔气管插管，最终还进行了气管切开术。通过颈部外侧入路对血肿进行了探查和引流，发现前纵韧带小撕裂处有一根出血血管，并对其进行了烧灼。患者顺利康复。
