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[钝性胸部创伤所致气管支气管损伤:10年经验]

[Tracheobronchial injuries due to blunt thoracic trauma: 10 years experience].

作者信息

Cakan A, Cağirici U, Buduneli T, Aşkin M, Sevinç S, Uçvet A

机构信息

Izmir Göğüs Hastaliklari ve Cerrahisi Eğitim Hastanesi, I. Göğüs Cerrahisi Kliniği, Yenişehir, Izmir.

出版信息

Ulus Travma Derg. 2000 Oct;6(4):255-9.

PMID:11813482
Abstract

The tracheobronchial injuries are seldom, but life threatening. Their successful diagnosis and treatment require a high level of suspicion. In this report, we reviewed our experience with seven patients with tracheobronchial injuries due to blunt thoracic trauma, treated over the past 10 years. Definitive diagnosis was recognized with bronchoscopy after clinical suspicion. Most injuries were located in the right bronchial tree (five patients), whereas only one patient had an injury located in the left bronchial tree and one in trachea. The majority of the injuries were repaired primarily (five patients) and two required lobectomy. There were no postoperative mortality; but three postoperative complications were noted; one empyema and two partial stenoses on the repair line.

摘要

气管支气管损伤虽罕见,但危及生命。其成功诊断与治疗需要高度的怀疑意识。在本报告中,我们回顾了过去10年间治疗的7例因钝性胸部创伤导致气管支气管损伤患者的经验。临床怀疑后经支气管镜检查确诊。多数损伤位于右支气管树(5例患者),而仅1例患者损伤位于左支气管树,1例位于气管。多数损伤进行了一期修复(5例患者),2例需要肺叶切除术。无术后死亡病例,但注意到3例术后并发症;1例脓胸,2例修复部位出现部分狭窄。

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