喉及颈食管外伤

D. Young, Andrew Tkaczuk
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引用次数: 0

摘要

上呼吸道消化道创伤是罕见的,但可以有毁灭性的后果。包括气道损伤在内的直接并发症可能危及生命,并使复苏努力复杂化。长期的后遗症会限制患者的呼吸、发声和/或吞咽能力,从而严重影响患者的生活质量。这篇综述提供了上气消化创伤的概述,其中许多这些损伤同时发生,但这篇文章分为三个主要类别:喉框架,上气消化穿孔,和成人腐蚀性摄入。这些损伤的初始处理可能是反射性的和平凡的,但也经常是微妙的和具有挑战性的,在管理这些患者的个人经验导致精通。本综述共包含图9张,表4张,参考文献82篇。关键词:喉外伤,喉骨折,食管穿孔,腐蚀性食入
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Trauma of the Larynx and Cervical Esophagus
Upper aerodigestive tract trauma is rare occurrence, but can have devastating consequences. Immediate complications including airway compromise can be life threatening and complicate resuscitative efforts. Long-term sequelae can significantly affect a patient’s quality of life by limiting one’s ability to breathe, phonate, and/or swallow. This review provides an overview of upper aerodigestive trauma, where many of these injuries occur concomitantly, but this text is divided into three main categories of: laryngeal framework, upper aerodigestive perforation, and adult caustic ingestion. The initial management of these injuries can be reflexive and mundane, but also are frequently nuanced and challenging, where personal experiences in management of these patients results in mastery.  This review contains 9 figures, 4 tables and 82 references.  Keywords: Laryngeal trauma, laryngeal facture, esophageal perforation, caustic ingestion
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