颈部闭合性喉气管横断伤伴食管裂伤(附一例报告)

CERVICAL CLOSED TRANSECTIONAL INJURY OF LARYNGOTRACHEA COMPLICATED WITH ESOPHAGEAL LACERATED WOUND

目的：总结颈部闭合性喉气管横断伤伴食管裂伤的诊断与治疗。方法：报告并结合文献分析该症一例。结果：经紧急气管切开建立可靠的通气道后，修复断裂的喉气管及食管，痊愈。结论：对颈部闭合性喉气管横断伤伴食管裂伤必须及时手术修复；紧急气管切开是保证通气道通畅的最好方法，经口或鼻插管危险；对颈部闭合性损伤伴呼吸困难者应紧急施行颈部探查术，术中对已断喉返神经宜行神经吻合术。

OBJECTIVE: To study diagnosis and management of cervical closed transectional injury of laryngotrachea complicated with esophageal lacerated wound. METHOD: Based on historical literature review, one case was analysed. RESULTS: The patient recovered by repair of laryngotrachea and esophagea after emergency tracheotomy and establishment of air way. CONCLUSION: Immediate repairing of injury is important; Emergency tracheotomy is the best way for a unobstructed air way and intubation through mouth and nose is dangerous; For patient with dyspnea, emergency cervical exploration should be done immediately and recurrent nerve should be repaired if the nerve is broken.