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[中空颈部器官的创伤后康复治疗]

[Post-traumatic rehabilitative treatment of hollow neck organs].

作者信息

Zenger V G

出版信息

Vestn Otorinolaringol. 1995 Mar-Apr(2):27-30.

PMID:7785152
Abstract

The attention of the reader is focused on the errors and shortcomings in rendering urgent emergency care for patients who underwent traumas of the neck hollow organs. The 30-year experience with 1000 patients managed by the authors convinced him of the necessity to consider more carefully the medical history of the patient, to use more frequently Killian's and Brunings's examinations, microlaryngoscopy, fibroendoscopy, x-rays. Restorative treatment becomes more effective under ultrasound and laser separation of the tissues, laryngochioido plexy, tracheopexy with establishment of the laryngeal patency and that of trachea. The technique is proposed for broadening the lumen of the cervical trachea in cicatricial stenosis and in going-on scarring in the thoracic trachea. The progress in the surgery of the neck hollow organs depends on adequate facilities and treatment policy.

摘要

读者的注意力集中在为颈部中空器官创伤患者提供紧急急救时出现的错误和不足上。作者对1000例患者进行的30年治疗经验使他确信,有必要更仔细地考虑患者的病史,更频繁地使用基利安氏和布鲁宁氏检查、显微喉镜检查、纤维内镜检查、X光检查。在超声和激光组织分离、喉气管神经丛阻滞、气管固定以建立喉和气管通畅的情况下,修复治疗会更有效。提出了一种技术,用于扩大瘢痕性狭窄的颈段气管腔以及胸段气管持续瘢痕化时的气管腔。颈部中空器官手术的进展取决于适当的设备和治疗策略。

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