钝性创伤继发喉气管完全分离1例报告。

IF 1 4区 医学 Q3 OTORHINOLARYNGOLOGY
Ent-Ear Nose & Throat Journal Pub Date : 2025-03-01 Epub Date: 2022-05-14 DOI:10.1177/01455613221102869
Salmah M Alharbi, Albaraa A Najmi, Mohammad S Alzahrani, Assaf A Alkathiri, Abdullah A Alhelali, Saad N Alqarni
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引用次数: 0

摘要

喉气管完全分离是一种罕见的危及生命的创伤,可能因道路交通事故而发生。不幸的是,如果急诊医生没有意识到这种可能性,可能会错过这种损伤。我们报告了一名儿童患者,他在骑四轮摩托车时被头巾勒死,导致喉气管完全分离和食道损伤。颈部外部检查显示只有结扎痕迹,没有开放性伤口。该损伤是在尝试气管造口术时发现的,因为患者的血氧饱和度降低,并且是失声的。患者接受了完全的气道重建和支架植入,以及食管完全重建和吻合的低位气管造口术。患者几周后拔管,声带处于正中位置,无误吸。该病例表明,早期及时治疗可以挽救患者的生命,并产生良好的功能结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Complete Laryngotracheal Separation Secondary to Blunt Trauma: A Case Report.

Complete laryngotracheal separation is a rare life-threatening trauma that may occur due to road traffic accidents. Unfortunately, this injury may be missed if emergency physicians were not aware of its possibility. We present a pediatric patient who had complete laryngotracheal separation and esophageal injury caused by strangulation with a headscarf while riding a four-wheeled motorcycle. The neck on external examination showed only a ligature mark without open wounds. The injury was identified while attempting tracheostomy as the patient had a decreased oxygen saturation and was aphonic. The patient underwent complete airway reconstruction and stenting as well as low tracheostomy with complete reconstruction and anastomosis of the esophagus. The patient was decannulated after a few weeks with the vocal cords in paramedian position and no aspiration. This case demonstrates that early prompt treatment can save the patient's life and result in good functional outcomes.

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来源期刊
Ent-Ear Nose & Throat Journal
Ent-Ear Nose & Throat Journal 医学-耳鼻喉科学
CiteScore
3.20
自引率
0.00%
发文量
385
审稿时长
6-12 weeks
期刊介绍: Ear, Nose & Throat Journal provides practical, peer-reviewed original clinical articles, highlighting scientific research relevant to clinical care, and case reports that describe unusual entities or innovative approaches to treatment and case management. ENT Journal utilizes multiple channels to deliver authoritative and timely content that informs, engages, and shapes the industry now and into the future.
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