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近6年来收治的42例外伤性下咽部损伤中,包括贯通伤17例,钝挫伤25例,多伴有不同程度颈部软组织、血管、神经等合并伤。紧急处理时,行气管切开术22例;颈部探查并作喉成形术19例,清创缝合3例,咽后壁血肿切排4例,全部病例均存活(100%)。作者经治后体会到,根据下咽部解剖结构的特点,下咽部损伤时的护理工作对伤后的转归具有极大的重要性,例如,有效地保持气道的通畅和人工气道的护理,静脉通路的选择和维护,饮食的控制和胃肠减压等都是整个处理过程中不可忽视的。
In the past 6 years, 42 cases of traumatic hypopharyngeal injury, including 17 cases of penetrating injury, blunt contusion in 25 cases, accompanied by varying degrees of neck soft tissue, blood vessels, nerves and other injuries. Emergency treatment, tracheotomy in 22 cases; neck exploration and laryngeal angioplasty in 19 cases, debridement and suturing in 3 cases, pharyngeal posterior wall hematoma incision in 4 cases, all cases were alive (100%). After the author learned from the rule, according to the characteristics of hypopharyngeal anatomy, hypopharynx injury care work on the prognosis of the injury is of great importance, for example, effective maintenance of airway patency and artificial airway The care, choice and maintenance of venous access, diet control and gastrointestinal decompression, etc. are the entire treatment process can not be ignored.