论文部分内容阅读
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 summarize the diagnosis and treatment of cervical closed laryngotracheal trachea injury with esophageal laceration. Methods: Report and combined with literature analysis of a case of the disease. Results: After the establishment of a reliable airway by emergency tracheostomy, the ruptured laryngotracheal tube and esophagus were repaired. CONCLUSIONS: The closed tracheal laceration of the neck with esophageal laceration must be promptly surgically repaired. The emergency tracheostomy is the best way to ensure the ventilation of the airway, and the risk of oral or nasal intubation. Difficulties should be urgently performed neck exploration, intraoperative resection of the recurrent laryngeal nerves should be nerve anastomosis.