喉闭合性损伤诊断与治疗中的一些问题

Some problem in diagnosis and treatment of closed laryngeal trauma

目的 :提高喉闭合性损伤的诊治水平。方法 :报告 5例喉闭合性损伤病例的临床资料 ,对临床容易发生的一些问题进行分析。结果 :5例诊断除据临床表现外 ,采用纤维喉镜和 CT、MRI等影像学检查 ,判断喉内结构损伤的程度 ;据此决定处理原则 ,作适当变通。 5例均治愈 ,且无喉狭窄发生。结论 :对喉外伤准确分度 ,据此作出相应的变通处理 ,是提高近期疗效、预防后期喉狭窄的关键。

Objective:Raise the diagnosis and treatment level of laryngeal closed trauma.Method:Analyze and discuss some problems of diagnosis or treatment through five cases reports.Result:Except clinical signs and symptoms,fibrolaryngoscopy and CT or MRI imaging examination should be used. According to it,make the injury degree of intralaryngeal structure and decide the management principle.Conclusion:Corrective diagnosis and treatment in emergency period was the key to raise curative effect in the near future and to prevent laryngeal stenosis in late period.