PENETRATING NECK TRAUMA - A 5-YEAR REVIEW OF THE LITERATURE, 1983 TO 1988

被引：30

作者：

BRENNAN, JA

MEYERS, AD

JAFEK, BW

机构：

[1] Department of Otolaryngology/Head and Neck Surgery, University of Colorado Medical Center, Denver, CO

来源：

AMERICAN JOURNAL OF OTOLARYNGOLOGY | 1990年 / 11卷 / 03期

关键词：

ballistics; missiles; neck; trauma;

D O I：

10.1016/0196-0709(90)90037-V

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Penetrating neck trauma remains controversial: some trauma centers continue to pursue a policy of mandatory exploration while others advocate selective exploration. The literature regarding penetrating neck trauma published during the past 5 years is reviewed in this report. The majority of reports support selective exploration, and most civilian centers report a mortality of 3% to 6% regardless of the type of exploration performed. To clarify the rationale behind the selective management of penetrating neck wounds, current data on ballistics, ancillary diagnostic studies, and comparative costs are reviewed. Emergency room management and surgical follow-up, which vary according to the type of missile and the zone of the neck penetrated, are discussed. © 1990.

引用

页码：191 / 197

页数：7

共 25 条

[1]

Obeid, Haddad, Horst, Et al., A critical reappraisal of a mandatory exploration policy for penetrating wounds of the neck, Surg Gynecol Obstet, 160, pp. 517-522, (1985)

[2]

Narrod, Moore, Selective management of penetrating neck injuries. A prospective study, Arch Surg, 119, pp. 574-578, (1984)

[3]

Ordog, Albin, Wasserberger, Et al., Shotgun ‘birdshot’ wounds to the neck, J Trauma, 28, pp. 491-497, (1988)

[4]

Carducci, Lowe, Dalsey, Penetrating neck trauma: Consensus and controversies, Ann Emerg Med, 15, pp. 208-215, (1986)

[5]

Holt, Kostohryz, Wound ballistics of gunshot injuries to the head and neck, Arch Otolaryngol, 109, pp. 313-318, (1983)

[6]

Broniatowski, Tucker, Penetrating injuries of the neck. Emergency evaluation and management, Postgrad Med, 80, pp. 155-160, (1986)

[7]

Ordog, Penetrating neck trauma, The Journal of Trauma: Injury, Infection, and Critical Care, 27, pp. 483-485, (1987)

[8]

Ordog, Albin, Wasserberger, Et al., 110 Bullet wounds to the neck, J Trauma, 25, pp. 238-246, (1985)

[9]

Meyer, Barrett, Schuler, Et al., Mandatory vs selective exploration for penetrating neck trauma. A prospective assessment, Arch Surg, 27, pp. 567-569, (1987)

[10]

Ramadan, Samara, Hamdan, Et al., Penetrating neck injuries during the Lebanese war: AUBMC experience. American University of Beirut Medical Center, Laryngoscope, 97, pp. 975-977, (1987)

← 1 2 3 →