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颈段气管穿透伤的处理

Management of penetrating injuries of the cervical trachea.

作者信息

Levy R D, Degiannis E, Hatzitheophilou C, Maberti P, Kantarovsky A, John K D, Saadia R

机构信息

Department of Surgery, Baragwanath Hospital, Johannesburg, South Africa.

出版信息

Ann R Coll Surg Engl. 1997 May;79(3):195-7.

PMID:9196340
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2502896/
Abstract

This is a report of a 2-year experience with the management of penetrating injury of the cervical trachea. There were 29 cases. The respiratory status of the patient on admission dominated the initial management: 12 patients required emergency intubation and were immediately taken to operation, while 17 patients were more stable and could be subjected to the preoperative assessment of the oesophagus. Associated injuries were significant and dominated the postoperative morbidity and mortality. Primary repair of the trachea, without tracheostomy, was successful in a relatively high proportion of patients (55%).

摘要

这是一份关于2年颈椎气管穿透伤治疗经验的报告。共有29例病例。患者入院时的呼吸状况主导了初始治疗:12例患者需要紧急插管并立即接受手术,而17例患者情况较为稳定,可以接受术前食管评估。合并伤较为严重,主导了术后的发病率和死亡率。在相对较高比例的患者(55%)中,未行气管切开术的气管一期修复手术取得了成功。

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本文引用的文献

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Surgery. 1996 Nov;120(5):785-8. doi: 10.1016/s0039-6060(96)80084-5.
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Penetrating wounds of the larynx and cervical trachea.喉及颈段气管贯通伤
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Management of airway trauma. II: Combined injuries of the trachea and esophagus.气道创伤的管理。II:气管与食管联合损伤
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Laryngotracheal trauma.喉气管创伤
Ann Thorac Surg. 1987 Mar;43(3):254-62. doi: 10.1016/s0003-4975(10)60608-x.