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近8年收治的14例喉气管复合伤中,闭合伤8例,贯通伤6例。主要诊断依据是:颈部外伤史和伤后呼吸困难、颈部皮下气肿,声音嘶哑或失音以及咯血。伤后紧急气道处理的最安全措施是气管切开(100%),喉气管成形术在6~48h内完成6例,3~8d内3例,治疗后全部病例存活(100%)。对11例随访2~4年远期气道质量评价,A级5例,B级4例,C级2例,伤后喉气管成形术的时间可能与远期气道质量有关。
In the past 8 years, 14 cases of laryngotracheal trauma were treated with closed wounds in 8 cases and penetrating wounds in 6 cases. The main diagnostic basis is: a history of neck trauma and post-injury breathing difficulties, neck subcutaneous emphysema, hoarseness or aphonia and hemoptysis. Tracheotomy (100%) was the safest method of emergency airway injury after trauma. Throat tracheoplasty was completed in 6 to 48 hours, 3 cases in 3 to 8 days, and all cases survived (100%) after treatment. The airway quality of 11 cases was followed up for 2 to 4 years. There were 5 cases of grade A, 4 cases of grade B and 2 cases of grade C. The time of laryngeal tracheal injury after injury may be related to the quality of long-term airway.