喉外伤23例临床分析

Clinical analysis to 23 cases of acute laryngeal damage

目的总结喉外伤的诊断治疗经验。方法对23例喉外伤患者的临床资料进行分析。结果23例中保守治疗6例,除2例有轻度声嘶外发音均恢复正常。清创缝合17例,术后发音恢复正常13例,声嘶4例,呼吸正常15例,喉狭窄拔管困难2例,分别于术后2个月及3年拔除气管导管。15例在1个月内痊愈出院并拔除气管导管。结论对喉外伤应根据其病情轻重程度进行早期处理,尽快恢复喉和气管通气功能,预防后遗症的发生,提高治愈率。

Objective To research the way ro deal with the acute laryngeal damage. Methods Data of 23 cases with acute laryngeal damage were analyzed. Results Among 23 cases, there were 6 eases who received nonsurgical treatment and their phonation were normal except one case who had mild hoarseness. Among 17 cases who had been performed operation, 13 cases had normal phonarion after operation. 4 cases still had roughness of voice. There were 15 cases with normal respiration but two cases with larynosxenosis and difficulty in decannulation. And these two cases were deeannulared respectively after 2 months and 3 years after operation. 15 cases made of 80 % in all were cured and decannulared within 1 month. Conclusion Acute laryngeal damage patients should be diagnosed and treated as early as possible according to the damage degree so as to recover the laryngeal and traeheals function and prevent the sequelae and increase the cure rate.