CAJ | 학술논문

目的探讨如何在基层医院及时合理地处置颈部开放性外伤.方法对57例颈部开放性外伤患者的受伤原因、机制、诊断和治疗进行回顾性分析.结果 7例中切割伤29例,穿透性外伤23例,挫裂伤5例;其中重大伤12例,轻微伤55例;53例手术治疗,治疗性手术10例,治愈50例,好转2例,转院1例,死亡4例.结论根据患者的受伤机制及临床表现,可初步确定合适的治疗方式.
목적 탐토여하재기층의원급시합리지처치경부개방성외상.방법 대57례경부개방성외상환자적수상원인、궤제、진단화치료진행회고성분석.결과 7례중절할상29례,천투성외상23례,좌렬상5례;기중중대상12례,경미상55례;53례수술치료,치료성수술10례,치유50례,호전2례,전원1례,사망4례.결론 근거환자적수상궤제급림상표현,가초보학정합괄적치료방식.
Objective To explore how to treat open neck trauma in time and with reason in the primary hospital.Methods 57 cases of neck open injury were hospitalized from Aug.1997 to Jan.2()07,and injury cause,mechanism,diagnosis and treatment of them are analyzed retrospectively.Results There were 29 incisal wounds and 23 penetrating wounds and 5 contusing wounds.Among 57 patients there were 12 significant injuries and 55 minor injuries cases.53 patients had been treated with operative exploration and 10 patients had therapeutic exploration.The result of treatment showed that 50 patients were cured,and 4 patients died of head injury,cervical spinal injury and respiratory failure,anoxic encephalopathy from airway obstruction and hemorrhagic shock from combined injuries of common carotid artery and internal jugular vein.Conclusion The mainstay of choice of treatment is the injury mechanism and clinical signs and symptoms of patient.