自殺企図による頸部気管損傷の1例

Cervical Trachea Injury Caused by Suicide Attempt：Report of a Case

はじめに　自殺企図による鋭的気管損傷は，血管損傷を伴えば救命困難1）とされ，また病院到着までに多くが死亡するとの報告2）がある．われわれは，鋭的気管損傷に対する救命例を経験したので若干の文献的考察を加えて報告する．

Traumatic tracheal injuries are rare, but life-threatening. A 20-year-old man who became recluse stabbed in his neck by a kitchin knife for the purpose of suicide and was transferred to our hospital. He had stabbed wound about 8 cm in length in his anterior neck. No injury of lung, esophagus, cervical vessels was seen by cervical and chest enhanced computed tomography （CT）. Emergency surgery was performed. Exploration of his neck revealed almost all of cartilage of trachea was cut in the hight just caudal to cricoid cartilage. The membranous portion of trachea was not injured. The cartilage of trachea was sutured. He was extubated on the 6th postoperative day and discharged on the 35th postoperative day. No injuries to his cervical vessels or esophagus must have contributed to his good postoperative course.