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目的:总结喉外伤临床表现和紧急处理的经验,提高喉外伤的急诊救治水平。方法:收集喉外伤患者33例,其中闭合性损伤14例,开放性损伤19例。回顾性分析其临床表现、紧急抢救、治疗资料。结果:33例中抢救成功30例(91%),15例行气管切开术,除2例伤势过重死亡外,其余病例均顺利拔管。结论:喉外伤临床处理专业性较强;急诊处理中迅速止血、气管切开等尤为重要;若贻误抢救或处理不当,可危及患者生命或遗留喉瘢痕狭窄等并发症。
Objective: To summarize the clinical manifestation and emergency treatment experience of laryngotracheal trauma, and to improve the emergency treatment of laryngotracheal injury. Methods: Thirty-three cases of laryngeal trauma were collected, including 14 cases of closed injury and 19 cases of open injury. Retrospective analysis of its clinical manifestations, emergency rescue, treatment of information. Results: Thirty cases (91%) were successfully treated and tracheotomy was performed in 15 cases. Except for 2 cases of over-death, all other cases were successfully extubated. Conclusions: The clinical treatment of laryngotracheal trauma is more specialized; rapid hemostasis and tracheotomy are especially important in emergency treatment; if it is not salvaged or handled properly, it may endanger the patient’s life or left laryngeal scar and other complications.