ĐÁNH GIÁ ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VẾT THƯƠNG VÙNG CỔ TẠI BỆNH VIỆN CHỢ RẪY TỪ THÁNG 01/2021 ĐẾN THÁNG 12/2022

Abstract

Introduction: A neck injury is a surgical emergency with obvious access, such as stab wounds, sharp objects (metal or wood), bullets, or shrapnel. Identification of the cause, mechanism of injury, and damaged structures must be done thoroughly in order to treat the patient effectively and lessen the severity of the resulting effects. In recent years, our hospital has seen an increase in cases of complicated neck injuries, which negatively affect the patient's life and quality of life. To make sure patients are safe and reduce the chance of complications, we evaluate the most common reasons for neck injuries and treat them in the best way. Objectives: Evaluation of the clinical and non-clinical features of neck injuries at Cho Ray Hospital's Otolaryngology Department. Methods: A cross-sectional descriptive study was conducted. There were 40 cases of neck injuries between January 2021 and December 2022. Exploratory surgery, tracheostomy, vascular repair, esophageal repair, laryngeal framework repair, and pharyngeal repair were all assessed in the treatment of neck injuries. Results: 95% of the 40 cases in the study are male, while 5% are female. The median incidence age group was 32.6±1.6. 50% of the 40 cases of neck injuries were caused by sharp objects. The platysma muscle was injured in 23 cases (57.5%), the tracheoesophageal was injured in 10 cases (25%), the vessel was injured in 4 cases (10%), the neck gland was injured in 2 cases (5%), and the nerve was injured in only 1 case (2.5%). Subcutaneous emphysema, which accounts for 60% of all cases, is the most common clinical symptom of neck injuries, followed by laryngeal dyspnea (27%) and vessel bleeding (12.5%). The CT scan result found 72.5% subcutaneous emphysema, 25% mediastinal emphysema, 7.5% injured thyroid cartilage, and 5% injured cricoid cartilage. The average length of hospital stay is 7.58 days. There were 5 tracheal stenosis patients and only 1 with peripheral facial palsy. Conclusions: Because of presence of important vessels, nerves, and organs in the neck, all neck injuries are potentially dangerous and necessitate emergency treatment. A thorough understanding of the anatomy of the neck, clinical assessment, and diagnostic and therapeutic interventions are required for better treatment and prognosis