外伤导致气道狭窄一例并文献复习

Trauma-Induced Airway Stenosis: A Case Report and Literature Review

摘要: 目的：探讨外伤导致气道狭窄的临床特点、诊断及治疗方法。方法：选取我科近期收治的1例外伤导致气道狭窄患者为对象，对其行全麻前联合镜下新生物切除室带粘连松解术，术后进行对症治疗，同时进行随访复查。结果：该患者术后声嘶症状明显改善，呼吸较术前顺畅，无术后复发。结论：气道狭窄的诊断及治疗应加强麻醉科、耳鼻咽喉科等多学科协作，必要时可在手术麻醉前行显微或电子喉镜检查评估气道，避免因未确诊的气道狭窄而造成困难气道的发生。

Abstract: Objective: To explore the clinical characteristics, diagnosis, and treatment methods of airway stenosis caused by trauma. Methods: A recent case of airway stenosis caused by trauma treated in our department was selected as the subject. The patient underwent a combined pre-anesthesia endoscopic neoplasm resection and ventricular band adhesion release. Postoperative symptomatic treatment was administered, and follow-up examinations were conducted. Results: The patient showed significant improvement in hoarseness postoperatively, with smoother breathing compared to before the surgery, and no recurrence was observed. Conclusion: The diagnosis and treatment of airway stenosis should strengthen multidisciplinary collaboration among anesthesiology, otolaryngology, and other departments. If necessary, a microscopic or electronic laryngoscopy examination can be performed before surgical anesthesia to assess the airway, in order to prevent the occurrence of a difficult airway due to undiagnosed airway stenosis.