CAJ | 학술논문

目的：探讨复杂颈部外伤的有效诊治方法。方法：对23例颈部外伤患者采用个体化综合治疗，其中12例行气管切开术。结果：23例患者中22例抢救成功。12例气管切开患者2周顺利拔管，3例喉挫裂伤患者3周后均予以拔管，本组病例随访6～12个月，无1例发生喉及气管狭窄，3例喉返神经损伤患者，1例1个月后声嘶好转，2例无改善。结论：对复杂颈部外伤要及时明确损伤的部位和程度，及时打通呼吸通道。
목적：탐토복잡경부외상적유효진치방법。방법：대23례경부외상환자채용개체화종합치료，기중12례행기관절개술。결과：23례환자중22례창구성공。12례기관절개환자2주순리발관，3례후좌렬상환자3주후균여이발관，본조병례수방6～12개월，무1례발생후급기관협착，3례후반신경손상환자，1례1개월후성시호전，2례무개선。결론：대복잡경부외상요급시명학손상적부위화정도，급시타통호흡통도。
Objective:To discuss the effective methods of diagnosis and treatment on complex open injury of neck .Methods:23 pa-tients were treated by individualized comprehensive treatment, included12 tracheotomy cases .Results:22 cases were saved successfully . 12 tracheotomy cases were extubated after 2 weeks.3 laryngeal contusion cases were extubated after 3 weeks.All the cases were followed for 6~12 months, no laryngostenosis and tracheostenosis happened .There were 3 cases of recurrent laryngeal nerve injury , one patient's hoarseness was improved and other 2 patients'were not improved .Conclusions:It is very important to confirm the injured part and the de-gree for open injury of neck in time .Do the tracheotomy in time is also important .