一个微小的异物在脖子里藏了27年的病例

Ming Huang, Nan Wang, Zhifan Hu, Yuejuan Zheng, Shuang-Lin Qin
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摘要

颈部创伤具有多样性、复杂性和危险性的特点。轻伤一般需要清创缝合或对症治疗。严重者可发生急性喉部梗阻、皮下肺气肿、喉部和气管软骨严重变形塌陷或相邻器官损伤。如果诊断不及时或处理不当,可能危及患者的生命或留下后遗症。如果异物残留是由头颈部外伤引起的,应根据患者的情况合理判断并采取相应的措施。手术前、术中异物的准确定位以及合适的手术方法是确保治疗成功的关键。本文报告2023年1月底在咸宁市中心医院收治的一例颈部小异物。
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A case of tiny foreign body hidden in the neck for 27 years
Neck trauma has the characteristics of diversity, complexity, and danger. Mild injuries generally require debridement and suturing or symptomatic treatment. In severe cases, acute laryngeal obstruction, subcutaneous emphysema, severe deformation and collapse of laryngeal and tracheal cartilage, or damage to adjacent organs may occur. If not diagnosed in a timely manner or mishandled, it can endanger the patient’s life or leave sequelae. If foreign body residue is caused by head and neck trauma, a reasonable judgment should be made based on the patient’s condition and corresponding measures should be taken. Accurate localization of foreign bodies before and during surgery, as well as appropriate surgical methods, are key to ensuring successful treatment. This article reports a case of a small foreign body in the neck admitted to Xianning Central Hospital at the end of January 2023.
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