• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>International Journal of Otorhinolaryngology >Cut Throat Injury Presenting As Emergencies in a Tertiary Care Hospital in India: A Retrospective Analysis
【24h】

Cut Throat Injury Presenting As Emergencies in a Tertiary Care Hospital in India: A Retrospective Analysis

机译：在印度三级医院就诊时出现的急诊喉咙损伤：回顾性分析

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Anterior neck injuries are variable according to their extent, depth and cause. These can be intentional or accidental. The injuries may be penetrating or non-penetrating. Injury to certain anatomic structures (e.g, carotid or subclavian vessels) may be fatal in two thirds of cases. Management of injuries that penetrate the platysma depends upon the anatomic level of injury. A retrospective study of 30 cases of cut throat injury presenting as emergency were managed over a two year period from June 2010 to June 2012. They were analysed for details of age, sex, etiology, nature of injury and surgical procedures for management and their complications. A total of 30 cases of cut throat injuries were reviewed. 20 females, 10 males with age ranging from 5 to 60 years, mean age of 21.2 years. 13 cases were suicidal, 10 cases were attempted homicidal, 3 were from animal assault, 2 were as a result of road traffic accident and remaining 2 patients were due to fall on sharp object. Sharp knife was used in all cases of attempted suicide and 80% cases of human assault, while cow horn was the most common object involved in animal assault. Bullet was observed in two cases of gunshot. Four patients had pharyngocutaneous fistula, one developed tracheopharyngeal fistula, One developed wound dehiscence in post-operative period. Suicidal and homicidal wounds account for majority of the cases (76.66%). Cut throat injuries presenting as emergency differ in etiology, extent, and depth. Early intervention in the form of airway management and meticulous repair layer by layer is needed for surgical repair. Complications developed as a result of bad initial management & poor health of patients. Proper initial management & early repair of the 'cut-throat injury' reduces complications and post-operative morbidity. Post-operative follow-up for at least one year is needed to avoid delayed complications and hence morbidity.
机译：颈部前部损伤因其程度，深度和原因而异。这些可能是有意或无意的。伤害可能会穿透或不穿透。在三分之二的案例中，某些解剖结构（例如颈动脉或锁骨下血管）的伤害可能是致命的。穿透胸膜的损伤的处理取决于损伤的解剖学水平。在2010年6月至2012年6月的两年期间，对30例急诊出现的割喉损伤病例进行了回顾性研究。对这些病例进行了年龄，性别，病因，损伤性质以及外科手术方法及其并发症的详细分析。 。回顾了30例喉咙切开伤。 20名女性，10名男性，年龄在5至60岁之间，平均年龄为21.2岁。自杀13例，企图杀人10例，动物袭击3例，道路交通事故2例，其余2例因跌落在锋利物体上。在所有企图自杀的案件和80％的人身伤害案件中，都使用了锋利的刀，而牛角是动物袭击中最常见的对象。在两起枪击事件中观察到子弹。术后咽咽皮肤瘘4例，气管咽瘘1例，伤口裂开1例。自杀性和杀人性伤口占大多数（76.66％）。表现为紧急情况的割喉伤在病因，程度和深度上均不同。手术修复需要以气道管理和逐层细致修复的形式进行早期干预。不良的初始治疗和患者的健康状况导致并发症的发生。正确的初始治疗和早期修复“割喉损伤”可减少并发症和术后发病率。术后至少需要一年的随访，以避免延迟并发症和发病率。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号