Blunt Neck Trauma Causing Unusual Life-Threatening Acute Respiratory Distress: A Case Report

頸部鈍傷引起致命之急性呼吸窘迫：一病例報告

林作彥(Tso-Yen Lin) ； 廖訓禎(Shiumn-Jen Liaw) ； 許文祥(Boon-Siang Khor)

《Journal of Emergency Medicine, Taiwan》 9卷1期 (2007/03) Pp. 19-22

摘要

頸部鈍傷並非急診罕見的傷害，它有可能造成呼吸道阻塞而具潛在死亡之危險性。本篇報告一名76歲頸部鈍傷的男性病患，在急診觀察90分鐘後併發急性呼吸窘迫而需要緊急氣管內管插管處置。經電腦斷層掃描檢查後發現前頸部有一巨大血腫壓迫部分上呼吸道之狀況，病患在外科清創手術移除血腫及加護照護後康復。此個案突顯頸部鈍傷病患雖初期狀況穩定，但卻有迅速演變至呼吸道嚴重危害，需要緊急建立呼吸道處置之危險性。

關鍵字

頸部鈍傷 ； 血腫 ； 呼吸窘迫

並列摘要

Blunt neck trauma is not an uncommonly seen injury in an emergency department and may carry a mortality risk as caused by potential airway obstruction. We report on the case of a 76-year-old male victim of blunt neck trauma complicated with acute respiratory distress and who required emergent orotracheal intubation following 90 minutes of observation in emergency department. Computed tomography revealed a huge hematoma that had accumulated in the anterior cervical region and which featured partial upper-airway obstruction. The patient recovered following surgical debridement and intensive care. This case stresses that a patient suffering blunt neck trauma may initially appear stable, but can rapidly evolve to a situation of a critically compromised airway that requires emergency intubation and surgical intervention.

並列關鍵字

blunt neck trauma ； hematoma ； respiratory distress