【摘要】 目的探讨进一步提高闭合性喉气管损伤诊断与治疗水平的措施。方法分析32例闭合性喉气管损伤患者的临床资料,对相关问题进行讨论。结果32例闭合性喉气管损伤病例,2例死亡,1例因救治不当发生喉气管狭窄而需进一步整复,其余29例恢复了喉的功能。结论对喉气管外伤准确分度,在修复术中最大限度地保留破碎的软骨膜、软骨和粘膜是提高近期疗效、预防后期喉狭窄的关键。更多还原

【Abstract】 OBJECTIVE To promote the diagnosis and treatment level of closed injury of larynx and trachea . METHODS Analyze and discuss some problems of diagnosis and treatment through 32 cases of the patients with closed injury of largnx and trachea. RESULTS 32 cases of the patients with closed injury of larynx and trachea were treated from Dec. 1976 to Sept 2002 . There were 24 males and 8 females, ranging in age from 8 to 60 years old. Of the 32 cases, 2 died (One died of bleeding as phyxia, another died among operation), one had laryngotrached stenosis which required further repair. The reason for the stenosis was thought to be the inadequate first aid management . The other 29 cases restored good larygeal and trachea! functions . CONCLUSION The importance to reserve the damaged perichondriam, cartiage and mucosa as much as posible in the reconstraction of the larynx and trachea is emphasized. Corrective diagnosis and treatment in emergency period is the key to promote curative effect in the near future and to prevent laryngeal stenosis in late period.更多还原