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頁籤選單縮合
題名 | Laryngeal Injury with Subcutaneous Emphysema: A Case Report=咽喉外傷併皮下氣腫: 病例報告 |
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作者 | 王佐才; 周義; 廖訓禎; 廖為博; 廖浩欽; Bullard,Michael J.; | 書刊名 | 中華民國急救加護醫學會雜誌 |
卷期 | 9:1 1998.03[民87.03] |
頁次 | 頁33-37 |
分類號 | 416.895 |
關鍵詞 | 咽喉外傷; 皮下氣腫; 皮膚切開; 胸管; 袋瓣罩; Laryngeal injury; Subcutaneous emphysema; Skin incision; Chest tube; Bag-valve-mask; |
語文 | 英文(English) |
中文摘要 | 咽喉氣管的外傷之處置是相當困難和令人焦慮的。因為必須同時考慮到氣道、頸椎、大出血及其他合併的外傷。張力性皮下氣腫可以引起急性的胸腔無法擴張進而導致呼吸及心臟血管方面的衰竭。這個病例顯示一個困難的臨床狀況:用袋瓣罩來給病人做支持性呼吸,結果造成了因外傷而引起的氣管部份破裂發生氣體外泄,而引起張力性皮下氣腫。病人後來得以存活,主要是經口氣管內管插管時,很幸運的插入氣管內,而非由氣管破裂處進入氣管外。後來的皮下切開使到氣體得以洩出,使胸部得以擴張。 |
英文摘要 | Management of laryngotracheal trauma may be difficult and anxiety provoking because the airway, cervical spine, major hemorrhage and associated traumatic injuries must all be considered. Rarely subcutaneous emphysema may develop tension resulting in respiratory and cardiovascular compromise. We present a case of neck trauma in whom initial ventilatory support by bag-valve-mask led to air leakage from an incompletely transected trachea, leading to tension subcutaneous emphysema. Orotracheal intubation fortunately entered the true lumen not the false one. Skin incisions then allowed the subcutaneous air to escape, eliminating the acute thoracic constriction. |
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