Eggen J T, Jorden R C
Department of Emergency Medicine, University of Mississippi Medical Center, Jackson.
J Emerg Med. 1993 Jul-Aug;11(4):381-5. doi: 10.1016/0736-4679(93)90238-3.
This study was performed to determine whether clinical presentation can accurately predict which victims of penetrating neck trauma require urgent airway management. An 8-year retrospective review of all patients with a diagnosis of penetrating neck trauma seen in the emergency department of an urban teaching hospital was conducted. Of the 114 patients reviewed, 69 (60%) were intubated at some point in their hospital course. Twenty-six (23%) met our predetermined criteria for urgent airway control; 25 of these patients were intubated in the emergency department. Forty-three patients (38%) did not meet the criteria and were electively intubated either in the operating room or in the emergency department. Forty-five patients (39%) were never intubated. None of the patients in this series developed complications as a result of their airway management.
本研究旨在确定临床表现能否准确预测哪些穿透性颈部创伤受害者需要紧急气道管理。对一家城市教学医院急诊科诊断为穿透性颈部创伤的所有患者进行了为期8年的回顾性研究。在114例接受评估的患者中，69例（60%）在其住院过程中的某个时间点进行了插管。26例（23%）符合我们预先设定的紧急气道控制标准；其中25例患者在急诊科进行了插管。43例患者（38%）不符合标准，在手术室或急诊科进行了选择性插管。45例患者（39%）从未插管。该系列中的患者均未因气道管理而出现并发症。
