目的:探讨双颈部焦痂切开减压在面颈部深度烧伤治疗中的应用效果。方法:对6例面颈部深度烧伤及轻度吸入性损伤的大面积烧伤病人早期采用双颈部焦痂切开减压处理,观察颈部感觉变化,气道梗阻发生情况及颈部切开创面愈合情况。结果:6例患者中3例在面颈部出现紧缩感时行双颈部焦痂切开减压,切开后颈部紧缩感全部缓解,3例在未出现紧缩感时即进行预防性切开;6例患者在随后的治疗中未出现气道梗阻,未进行气管切开,均成功救治,4例颈部切开创面换药后自行愈合,2例植皮修复,未出现出血、感染等并发症。结论:早期行双颈部焦痂切开减压,可有效防止面颈部深度烧伤患者早期发生气道梗阻,避免气管切开,该方法简便可行。 Objective: To investigate the effect of esophagectomy and double-neck esophagectomy for deep burn in face and neck. Methods: Six patients with extensive burns of face and neck deep burn and mild inhalation injury were treated with esophagectomy and esophagectomy. The neck sensation, airway obstruction and neck incision Wound healing. Results: In 6 patients, 3 cases underwent neck esophageal incision and decompression when the face and neck had a sense of tightness. Neck tightening was relieved after incision and 3 cases were performed preventive prophylaxis Open; 6 patients in the subsequent treatment did not appear airway obstruction, no tracheotomy, were successfully treated, 4 cases of neck incision wound healing after self-healing, 2 cases of skin graft repair, no bleeding, infection, etc. complication. Conclusions: Early esophagectomy with double neck decompression can effectively prevent early airway obstruction and prevent tracheotomy in patients with deep burn of face and neck. This method is simple and feasible.