论文部分内容阅读
对救治的48例颈部外伤进行小结，其中开放性伤35例，钝挫伤13例，多合并有不同程度预部软组织、血管、甲状腺、神经等受损。体会是：为避免漏诊和误诊，对此类外伤病人的检查可分3步进行：①数分钟内迅速作出初步诊断；②在抢救的同时抓紧完成关键性检查；③病情相对稳定后需仔细检查，先全身，后局部。救治时，对于开放性喉外伤，应首先畅通呼吸，妥善止血，纠正失血性休克，仔细清创。对于颈部无创口的喉外伤，应早行喉纤维镜及喉部CT扫描等检查，详细了解喉的内部结构损伤情况，及时探查，整复和喉腔成形，对于伤后的转归有极大的重要性。
The treatment of 48 cases of neck trauma summary, of which 35 cases of open wounds, blunt trauma in 13 cases, combined with varying degrees of preoperative soft tissue, blood vessels, thyroid, nerves and other damage. Experience is: In order to avoid missed diagnosis and misdiagnosis, the inspection of such trauma patients can be divided into 3 steps: ① a few minutes to make a preliminary diagnosis quickly; ② pay close attention to the completion of the key check during the rescue; ③ the condition is relatively stable to be carefully examined First body, after the local. Treatment, open laryngeal trauma, should be the first smooth breathing, proper hemostasis, hemorrhagic shock correction, careful debridement. For neck non-invasive throat trauma, should be early throat fibroscope and laryngeal CT scan examination, a detailed understanding of the internal structure of the throat injury, timely exploration, consolidation and laryngeal cavity formation, the outcome of the injury after a very Big importance