颈部气管断裂伤诊断与治疗(附7例报告)

目的:探讨颈部气管断裂伤的诊断与治疗方法。方法:回顾性分析7例颈部气管断裂伤,对患者的临床特点、诊断及治疗经过进行分析。结果:本组年龄30~42岁,全部病例受伤后均有颈部肿痛伴明显的呼吸困难,咯血或痰中带血。喉气管标志消失5例,移位或变形2例,开放性损伤患者均合并不同程度的喉外伤。治疗上均行低位气管切开、气管吻合,同时对喉、甲状腺及颈部相应组织给予修复。所有患者术后均未发生气管狭窄,除2例无声音嘶哑外,余5例均有不同程度声音嘶哑。结论:严重的颈部气管外伤无论是开放性还是闭合性的均易发生窒息和严重的并发症而危及生命。早期明确诊断,采取积极有效的治疗是降低病死率、提高治愈率的关键。

Diagnosis and treatment of the cervical tra cheal rupture:Report of 7 cases

Objective:To explore the diagnosis and treatment for the cervical tracheal rupture.Methods:The data of 7 cases with cervical tracheal rupture were reviewed in terms of the clinic features,diagnosis and treatment.Results: The 7 patients ranged in age from 30 to 42 years and all were present with painful swollen neck,difficult breathing,hemoptysis or bloody sputum.Tracheal rings disappeared in 5 cases and displaced or deformed in 2 cases.All patients with open injury suggested injuries of larynx of certain degrees and they received low tracheotomy or end-to-end tracheal anastomosis with repairing thyroid and neck.No tracheal stenosis occurred except for presence of hoarseness in 5 and absence of hoarseness in 2.Conclusion: The serious cervical tracheal injuries,either open or closed,are susceptible to asphyxia and serious life-threatening complications.Early diagnosis and aggressive treatment can knock down the mortality and improve recovery.