Hosny A, Bhendwal S, Hosni A
Department of Otolaryngology, West Hill Hospital, Dartford, Kent, UK.
J Laryngol Otol. 1995 Mar;109(3):250-1. doi: 10.1017/s0022215100129834.
Laryngotracheal injuries are relatively rare but their mortality rate is fairly high. Complete disruption of the trachea is extremely rare and a systematic approach is needed for early diagnosis and favourable outcome. The patient's symptoms and physical signs do not necessarily correlate with the severity of the injury as this case report highlights. X-rays, CT scans, barium swallows and endoscopies are recommended for evaluation of such injuries. However, direct laryngoscopy and fibre optic bronchoscopy are the most accurate.
喉气管损伤相对少见，但死亡率相当高。气管完全断裂极为罕见，早期诊断并获得良好预后需要采用系统的方法。正如本病例报告所强调的，患者的症状和体征不一定与损伤的严重程度相关。建议进行X线、CT扫描、吞钡检查和内镜检查以评估此类损伤。然而，直接喉镜检查和纤维支气管镜检查最为准确。
