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例1 男,36岁。1991年3月21日因高速驾驶摩托车时正面与电缆绳相撞而勒伤颈部,三小时后急诊入院。伤后即时出现失音,气促,当颈伸直正中位时呼吸通畅,后仰及前屈时出现呼吸困难,伤后咯出鲜血数口。检查发现颈前皮肤有明显绳勒伤瘀斑,体位性吸入性呼吸困难,颈部及上胸部有明显皮下气肿,甲状软骨下方明显压痛。咽后壁有陈旧性血液,声带充血水肿,声门裂约2mm。双肺闻干湿罗音,胸片证实为吸入性肺炎,颈部皮下气肿。诊断:颈气管闭合性断裂。即于局麻下行手术探查,术中见颈前肌深面有一腔隙,触不到气
Example 1 male, 36 years old. On March 21, 1991, the neck was injured due to a collision with the cable on the front when the motorcycle was driving at a high speed. The emergency room was admitted after three hours. Immediately after injury, an aphonia, shortness of breath, breathing smoothly when the straight neck extension is straight, backward and flexion breathing difficulties, slightly bleeding after the number of mouth bleeding. Examination revealed that the skin of the neck before the injury was obvious rope injury eczema, postural aspirated breathing difficulties, neck and chest have obvious subcutaneous emphysema, tenderness under the thyroid cartilage. Pharyngeal wall with old blood, vocal cord congestion and edema, glottis crack about 2mm. Wet and dry lungs smell rales, chest X-ray confirmed as pneumonia, subcutaneous emphysema in the neck. Diagnosis: closed bronchial rupture. Under local anesthesia surgery Surgical exploration, intraoperative see anterior deep muscle there is a lacuna, touch less than gas