摘要
为了提高喉气管创伤治疗水平 ,本文对 196 0年来经住院治疗的 33例喉气管创伤临床资料进行回顾性分析。创伤程度 型 12例 , 型 17例 , 型 4例 ,2 8例气管切开。闭合伤中应注意诊断。开放伤 、 型中喉软骨暴露破损 5例 ,有 4例喉狭窄 ,1例早期预防性喉扩张术未发生喉狭窄 ,1例咽瘘的产生和治疗等进行分析。认为喉气管创伤必须提高诊断和有效治疗水平 ,可以防止并发症产生。
Since 1960, thirty three patients with laryngotracheal trauma have been treated in our department. The clinical data of management in 33 patients with laryngotracheal trauma was reported. There were 20 males and 13 females, ranging in age from 21 to 83 years old. The clinical types of these patients were Ⅱ in 12, Ⅲ in 17, Ⅳ in 4. Tracheotomy was 28 (7 in type Ⅱ,17 in type Ⅲ and 4 in type Ⅳ) and the series repairing surgery of laryngotracheal trauma was completed in 30 cses (3 cases treated by conservatively method) according to different types of trauma. Results showed that the decannulation rate was 72 7% (24/33) (100% in type Ⅱ, 7/7; 82 4% in type Ⅲ, 14/17;3/4 in type Ⅳ). The dilatation of operation was completed in 5 cases (type Ⅲ 4, type Ⅳ 1) which were successful in 3. The early diagnosis and correct management were important for these patients of laryngotracheal trauma and to avoid serious complications.
出处
《耳鼻咽喉（头颈外科）》
2001年第3期157-159,共3页
Chinese Arch Otolaryngology-Head Neck Surg
