Bingol-Kologlu Meltem, Fedakar Mine, Yagmurlu Aydin, Fitoz Suat, Dindar Huseyin, Gokcora I Haluk
Department of Pediatric Surgery, Faculty of Medicine, Ankara University, 06100 Dikimevi, Ankara, Turkey.
Surg Today. 2006;36(9):823-6. doi: 10.1007/s00595-005-3240-z.
Tracheobronchial injuries following blunt chest trauma are uncommon in children. The involvement of both the trachea and right main bronchus separately is highly unusual. We herein report the case of a 13-year-old boy who presented with both a tracheal and right main bronchial rupture following blunt chest trauma. While the tracheal laceration required a tracheotomy, a delayed repair of right main bronchial disruption was performed with a complete preservation of the right lung. The features of this uncommon entity are discussed, with special emphasis on early diagnosis and surgical management.
钝性胸部创伤后气管支气管损伤在儿童中并不常见。气管和右主支气管分别受累的情况极为罕见。我们在此报告一例13岁男孩,其在钝性胸部创伤后出现气管和右主支气管破裂。气管撕裂伤需要进行气管切开术,而右主支气管破裂则进行了延迟修复,右肺得以完全保留。本文讨论了这种罕见情况的特征,特别强调了早期诊断和手术管理。