颈部贯通伤的治疗

来源 :山东医大基础医学院学报 | 被引量 : 0次 | 上传用户:donna1105
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目的 :探讨颈部贯通伤的治疗方法及疗效。方法 :回顾分析 1985~ 1999年 18例颈部贯通伤的治疗情况。 15例行急症手术探查 ,6例先行气管切开术 ,6例术后行气管切开术 ;3例采取保守治疗。结果 :17例治愈 ,1例死亡 ,治愈率达 94 .4 %。结论 :处理颈部贯通伤 ,应根据病情 ,重症患者应立即手术探查 ,呼吸道不畅者应先行气管切开术 ,再行手术修复 ,轻者可采取保守治疗 Objective: To explore the treatment of neck penetrating injury and its efficacy. Methods: The clinical data of 18 cases of penetrating neck injuries from 1985 to 1999 were retrospectively analyzed. Fifteen patients underwent emergency surgical exploration, 6 patients underwent tracheotomy, and 6 patients underwent tracheotomy. Three patients received conservative treatment. Results: 17 cases were cured, 1 case died, the cure rate reached 94.4%. Conclusion: The treatment of penetrating neck injuries, should be based on the condition, critically ill patients should immediately surgical exploration, respiratory failure should be tracheotomy, and then surgical repair, the light can be conservative treatment
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