颈部开放性外伤在基层医院的处理

目的 探讨如何在基层医院及时合理地处置颈部开放性外伤.方法 对57例颈部开放性外伤患者的受伤原因、机制、诊断和治疗进行回顾性分析.结果 7例中切割伤29例,穿透性外伤23例,挫裂伤5例;其中重大伤12例,轻微伤55例;53例手术治疗,治疗性手术10例,治愈50例,好转2例,转院1例,死亡4例.结论 根据患者的受伤机制及临床表现,可初步确定合适的治疗方式.

Management of neck open injury in the primary hospital

Objective To explore how to treat open neck trauma in time and with reason in the primary hospital.Methods 57 cases of neck open injury were hospitalized from Aug.1997 to Jan.2()07,and injury cause,mechanism,diagnosis and treatment of them are analyzed retrospectively.Results There were 29 incisal wounds and 23 penetrating wounds and 5 contusing wounds.Among 57 patients there were 12 significant injuries and 55 minor injuries cases.53 patients had been treated with operative exploration and 10 patients had therapeutic exploration.The result of treatment showed that 50 patients were cured,and 4 patients died of head injury,cervical spinal injury and respiratory failure,anoxic encephalopathy from airway obstruction and hemorrhagic shock from combined injuries of common carotid artery and internal jugular vein.Conclusion The mainstay of choice of treatment is the injury mechanism and clinical signs and symptoms of patient.