Akyol Ahmet, Cay Ali, Imamoglu Mustafa, Ulusoy Hülya, Ozen Ibrahim
Department of Anesthesiology and Intensive Care, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey.
Pediatr Pulmonol. 2006 Jul;41(7):690-3. doi: 10.1002/ppul.20414.
Spontaneous tracheobronchial ruptures are uncommon injuries, especially in the pediatric age group. Tracheal injuries, independent of their origin, may be life-threatening. Here we present the first report of a 14-year-old boy who presented with subcutaneous emphysema, pneumomediastinum, and pneumothorax on day 3, due to spontaneous posterior tracheal-wall rupture following paroxysmal productive coughing. The diagnosis was established using a computed tomography scan of the chest, and tracheobronchoscopy and esophagoscopy under general anesthesia. He was endotracheally intubated and ventilated in the intensive care unit. Such tracheal defects, bridgeable by an endotracheal tube, may permit conservative treatment. The patient was discharged on day 10, and follow-up revealed no late complications.
自发性气管支气管破裂是一种罕见的损伤，尤其是在儿童年龄组中。气管损伤，无论其起源如何，都可能危及生命。在此，我们报告首例14岁男孩，因阵发性咳痰后自发性气管后壁破裂，在第3天出现皮下气肿、纵隔气肿和气胸。通过胸部计算机断层扫描以及全身麻醉下的气管支气管镜检查和食管镜检查确诊。他在重症监护病房接受气管插管和通气治疗。这种可通过气管导管修复的气管缺损，可能允许进行保守治疗。患者于第10天出院，随访未发现晚期并发症。
