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喉外伤对发音和生命有潜在的严重威胁。处理喉外伤时,恢复喉粘膜和软骨支架的完整性,是恢复发声和气道的最重要措施。现根据得克萨斯西南医学中心和达拉斯四家医院,1965～1991年对139例喉外伤处理经验进行总结。根据受伤轻重不同分为四组:第1组20例,损伤包括喉内微小血肿或粘膜轻微撕裂,气道阻塞轻微,喉软骨架无骨折,留院观察24小时是必要的。对可疑喉软骨骨折者应行CT及纤维喉镜检查,明确喉内损伤情况,为治疗提供依据。第2组51例,损伤包括喉水肿、血肿、轻微的喉粘膜撕裂伤,软骨未暴露,有不
Throat trauma has potential serious threats to pronunciation and life. The treatment of laryngeal trauma, the recovery of the integrity of the laryngeal mucosa and cartilage scaffold, is the most important measure to restore vocal and airway. According to Texas Southwest Medical Center and Dallas four hospitals, from 1965 to 1991, 139 cases of laryngeal trauma experience. Divided into four groups according to the severity of injury: Group 1 20 cases, including minor throat intracranial hematoma or mucosal slight laceration, slight airway obstruction, laryngeal cartilage without fracture, stay in hospital for 24 hours is necessary. Suspected laryngeal cartilage fracture should be performed CT and fiberoptic laryngoscopy, clear laryngeal damage, provide the basis for treatment. In group 2, 51 cases were damaged, including laryngeal edema, hematoma, minor laryngeal mucosal lacerations, unexposed cartilage, and no