Nursing care of complications of throat trauma.doc

 PAGE \* MERGEFORMAT 6 Nursing care of complications of throat trauma Throat more than usual because traffic accident injuries, work injuries, sports and other causes, including the throat and neck contusion, fracture and dislocation of the cartilage, laryngeal mucosa and vocal cord hemorrhage, swelling or laceration and open injury, due to the throat and thyroid, neck Department of adjacent large blood vessels and other vital organs, injury prone to bleeding, shock and crisis, are otorhinolaryngology one common serious acute post-traumatic, for whatever reason can lead to serious complications, complications in the event, slightly improper handling, that is life threatening, so the correct diagnosis and timely treatment of complications and care is very important, now nursing of the complications described below: 1 Clinical data 20 patients, 18 males and 2 females, aged 18-50 years old, 6 patients had complications, including 3 cases of respiratory problems, and 2 cases of subcutaneous emphysema, hoarseness in 1 case, 1 case of tracheoesophageal fistula, are due to find timely, appropriate treatment and care, the patient recovered uneventfully. 2 Complications of care 2.1 Hemorrhage: throat contusion, mucosal injuries were only minor bleeding, and often bloody sputum, throat open injury due to neck blood vessels and more large amount of bleeding, such as carotid artery injury can be the scene of death, often large vein trauma Early in the neck and chest, bruising, bleeding emergency, the amount, there is the danger of causing the formation of cerebral hypoxia, whether primary or secondary hemorrhage if not handled properly, can also cause dangerous outside the arterial hematoma, pseudo- aneurysms or arteriovenous fistula, and therefore open throat trauma patients for emergency treatment immediately to prevent shock and suffocation, when the situation improved after the first bleeding, and then ligation of blood vessels with a doctor, in additi