颈部开放性外伤43例救治经验

Treatment of cervical opening wound(report of 43 cases)

目的:总结颈部开放性外伤的临床救治经验。方法:对1992-2010年收治的43例颈部开放性外伤患者进行回顾性分析。结果:41例预后良好,1例发生喉狭窄转上级医院行喉气管成形术,解除喉狭窄后拔管,恢复尚好;1例死亡,死因为呼吸道阻塞和失血性休克。结论:处理颈部开放性外伤,应高度重视颈部大血管、神经、喉软骨、咽喉黏膜的损伤及并发症的处理,争取一期修复;及时准确地诊断、救治和护理是决定预后的关键。

Objective：To summarize our experiences on surgical saving of the cervical opening wound.Method：Retrospectively analyze 43 cases with cervical opening wound in department of otolaryngology,suizhou central hospital from 1992-2010.Result：Forty-one among 43 cases healed with no complications,1 case died of obstruction of air way and hemorrhagic shock,and 1 case occurred secondary laryngostenosis and resulted in fine prognosis after treating with laryngotracheoplasty in higher hospital.Conclusion：It is very important to give the appropriate treatment on the injuries of large cervical vessels,nerves,laryngeal cartilages,throat mucosa and complications.It is important to repair the wounds primarily.Correct diagnosis and treatment at first time,and well nursing are crucial for good prognosis.