雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

A Case of a Massive Retropharyngeal Hematoma Associated with Traumatic Cervical Cord Injury Takashi ARAI 1,2,3 , Shunji ASAMOTO 1,2 , Yasuyuki FUKUI 2 , Takahiro ENDO 1,2 , Kinya OSHIDA 1 , Yoshinori ARAI 1 , Noriyoshi KAWAMURA 1 , Yasuyuki OKAMURA 1 , Hiroyuki MURAMATSU 1 , Hiroshi DOI 1 , Takakazu KAWAMATA 3 1Department of Neurosurgery, Makita General Hospital 2Department of Spine-spinal Center, Makita General Hospital 3Department of Neurosurgery, Tokyo Women's Medical University Keyword: massive retropharyngeal hematoma , traumatic cervical cord injury , conservative therapy pp.707-710
Published Date 2020/8/10
DOI https://doi.org/10.11477/mf.1436204258
  • Abstract
  • Look Inside
  • Reference

 Retropharyngeal hematomas are uncommon, but they may rarely cause occlusion of the upper airway and threaten life. Retropharyngeal hematomas often occur due to head or neck injury;they rarely occur due to iatrogenic causes such as insertion of a gastric tube or anticoagulant therapy. It has been found that patients receiving anticoagulant therapy are more likely to experience potentially severe retropharyngeal hematomas. We report the case of a patient with retropharyngeal hematoma with cervical cord damage. A 75-year-old man was transferred to our hospital after he sustained a fall and damaged his face. CT showed a massive retropharyngeal hematoma, but he did not complain of any breathing issues. Therefore, we selected conservative therapy. However, after approximately 4 hours, he suddenly complained of breathing problems and suffered from loss of consciousness. We performed intubation and provided sedation. After one week, his condition clearly improved and he was extubated.


Copyright © 2020, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

関連文献

もっと見る

文献を共有