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喉及下咽部开放性损伤的治疗

, PP. 1218-1219

Keywords: 喉部,下咽部,刎颈伤,穿通伤,手术

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Abstract:

目的探讨下咽及喉部开放性损伤的治疗方法。方法将22例爆炸导致弹射穿通伤、利器刺伤、刎颈伤的下咽及喉部开放性损伤患者临床资料进行回顾性分析。结果术后3例自刎伤患者出现咽瘘,1例经治疗后痊愈,2例放弃治疗出院。1例术后出现声门下腔瘢痕狭窄,予以再次手术治疗。1例出现一侧声带麻痹。结论保持气道通畅是救治下咽及喉部开放性损伤患者的关键,术前详细的检查,术中仔细探查,恢复咽喉结构以及伤后及时救治是预防术后感染及咽喉部狭窄等并发症的重要手段。

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