工伤后喉甲状腺软骨骨折及法医鉴定

M. Dogan, Nusret Ayaz, Ismail Altin
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引用次数: 0

摘要

喉损伤是罕见的,但可能是致命的。根据创伤的类型和严重程度,可以观察到甲状腺和喉软骨骨折、全层粘膜撕裂、气管咽分离以及导致纵隔气肿的损伤。喉部损伤可直接或穿透性发生。钝性创伤通常是由交通事故、跌倒和运动伤害造成的,而穿透性创伤通常是由枪伤或尖锐物体造成的。在这个特殊的病例研究中,该病例是一名24岁的男性,他在被叉车撞倒后被送往急诊室。在他的体格检查中,在他的右肩胛骨上观察到一个10x1厘米的伤口,并在锁骨下区域发现皮下肺气肿。检查结果发现患者有喉部骨折、甲状软骨骨折、第8肋骨骨折和纵隔气肿。在这项研究中,人们认为甲状腺和喉软骨骨折是由于颈部过屈/过伸而发生的,而没有直接打击颈部区域。由于其独特的损伤机制,本病例在文献中是罕见的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Larynx and thyroid cartilage fracture after work accident and forensic medical evaluation
Laryngeal injuries are rare but can be fatal. Depending on the type and severity of the trauma, thyroid and laryngeal cartilage fractures, full-thickness mucosal tears, tracheolaryngeal separation, and injuries leading to pneumomediastinum may be observed. Laryngeal traumas can occur either bluntly or penetratingly. Blunt traumas typically result from traffic accidents, falls, and sports injuries, while penetrating injuries are often caused by gunshot wounds or sharp objects. In this particular case study, the case was a 24-year-old male who was brought to the emergency room after being struck by a forklift at In his physical examination, a 10x1 cm wound was observed on his right scapula, along with subcutaneous emphysema in the subclavicular region. As a result of the examinations, the patient was found to have fractures of the larynx, thyroid cartilage, 8th rib and pneumomediastinum. In this study, it was thought that the thyroid and larynx cartilage fractures occurred as a result of hyperflexion/hyperextension of the neck without a direct blow to the neck region. This case is being presented because it is a rare occurrence in the literature, primarily due to its unique mechanism of injury.
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