Feat Stephane, Le Clech Guy, Riffaud Laurent, Godey Benoit
Department of Oto-Rhino-Laryngology, Head and Neck Surgery, Rennes University Hospital, Cedex, France.
J Pediatr Surg. 2002 Nov;37(11):E39. doi: 10.1053/jpsu.2002.36212.
The authors report the case of a 5-year-old boy who received a blow from a heavy metallic bar on the front of the neck and presented with a complete rupture of the cervical trachea. Such a rupture is exceptional in children because of the consistency of the cartilage but can occur when the neck is in extension and the glottis is closed. A rigid endoscopy allowed the rupture to be diagnosed, to restore the airway, to prepare the cervicotomy, and the suturing of the trachea. He presented with a stenosis 50 days after the suturing which was treated by dilatation.
作者报告了一名5岁男孩的病例，该男孩颈部前方被一根沉重的金属棒击中，出现了颈段气管完全断裂。由于软骨的韧性，这种断裂在儿童中较为罕见，但当颈部伸展且声门关闭时可能发生。硬质内镜检查有助于诊断断裂情况、恢复气道、准备颈部切开术以及气管缝合。缝合后50天，他出现了狭窄，通过扩张进行了治疗。
