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[急诊中所见的气管支气管破裂。麻醉医师的观点]

[Tracheobronchial ruptures seen in emergencies. Viewpoint of the anesthesiologist].

作者信息

Noviant Y, Gaud C, Langloys J, Place G

出版信息

Ann Anesthesiol Fr. 1976;11(7):827-36.

PMID:11727
Abstract

At the Marie Lannelongue surgical centre between 1964 and 1975, out of 278 patients with trauma of the thorax, we noted only 10 cases of tracheal-bronchial rupture admitted as an emergency = 9 ruptures due to closed trauma of the thorax, one with division of the lower part of the trachea. Analysis of these cases showed in particular:-the notion of violent trauma in -young subjects (average age: 20 years). In these thoracic injuries suspected of tracheal-bronchial rupture, the anaesthetist intervenes in four early stages: 1) arrival of the injured patient 2) bronchoscopy-diagnosis 3) surgical operation, the anaesthetic problems are linked to various factors, the most important of which are the very precarious cardio-respiratory condition, the lack of information and, sometimes, the lack of time. 4) Post-operative respiratory resuscitation.

摘要

1964年至1975年间,在玛丽·拉内隆格外科中心,278例胸部创伤患者中,我们仅记录到10例作为急诊收治的气管支气管破裂病例 = 9例因胸部闭合性创伤导致的破裂,1例气管下部断裂。对这些病例的分析特别显示:年轻受试者(平均年龄:20岁)存在暴力创伤的概念。在这些疑似气管支气管破裂的胸部损伤中,麻醉师在四个早期阶段进行干预:1)受伤患者到达 2)支气管镜检查诊断 3)外科手术,麻醉问题与多种因素相关,其中最重要的是极其不稳定的心肺状况、信息不足以及有时时间紧迫。4)术后呼吸复苏。

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