查詢結果分析
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頁籤選單縮合
題名 | Complete Cricotracheal Disruption Following Blunt Trauma to the Neck=頸部鈍傷合併頸部氣管完全斷裂 |
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作者姓名(中文) | 許以霖; 馮瑤; | 書刊名 | 臺灣外科醫學會雜誌 |
卷期 | 36:5 民92.09-10 |
頁次 | 頁220-225 |
分類號 | 416.215 |
關鍵詞 | 頸部鈍傷; 氣管斷裂; Tracheal disruption; Blunt neck trauma; |
語文 | 英文(English) |
英文摘要 | A 35-year-old male patient sustained complete cricotracheal transection with wideseparation of the ends following blunt neck trauma. Because of the stable generalrespiratory condition after endotracheal intubation by the physicians in the emergency room, the pathognomonic signs of severe major airway injury were not recognized, and this caused an unnecessary delay in treatment. A gradually deteriorating respiratory status after extubation of the endotracheal tube indicated a diagnosis of severe cervical tracheal injury. Treatment was performed 5 days after admission. It included primary end-to-end anastomosis of the trachea and a tracheostomy. The patient had an uneventful recovery, and follow-up showed no major late complications. We review this experience and discuss the diagnosis and treatment of such an injury. It is suggested that early diagnosis and treatment of tracheal transection are important in blunt neck trauma cases. |
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