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目的 探讨开放性与闭合性严重喉外伤的处理方法。方法 分析 16例严重喉外伤的临床资料和治疗方法。结果 16例无一例死亡 ,13例气管切开者拔管 11例 ,Ⅰ期术后拔管 9例。结论 开放性喉外伤处理的关键是止血和Ⅰ期重建喉腔 ,闭合性喉外伤处理的关键是通畅气道和Ⅱ期手术恢复喉功能 ,不同类型的外伤要采取不同的方法恢复喉的功能。
Objective To investigate the treatment of open and closed severe laryngeal trauma. Methods 16 cases of severe laryngeal trauma and clinical data and treatment methods. Results None of the 16 patients died. Thirteen tracheotomy patients were extubated in 11 cases, and nine patients were extubated in the first stage. Conclusions The key to the treatment of open laryngeal trauma is to stop the bleeding and reconstruct the larynx stage Ⅰ. The key to the treatment of closed laryngeal trauma is to restore the laryngeal function through the airway and stage Ⅱ operation. Different types of trauma should adopt different methods to restore the laryngeal function.