Dragomir Antonela, Ciontu Mirela, Cordoş Ion, Alexe Mihai, Mihălţan Florin
Secţia Pneumologie 3, Institutul de Pneumologie M. Nasta Bucureşti.
Pneumologia. 2006 Apr-Jun;55(2):64-7.
We present the case of a 25 year old patient, who suffered a car accident two month before he came to our hospital. At that moment, he had multiple costal fractures and left haemothorax, resolved by surgical means. At the actual presentation: dullness in the inferior half of left hemithorax, abolished breath sounds at this level. Radiologic--left lung atelectasis, bronchoscopic examination revealed--complete stenosis of the main left bronchus, while computer tomography has shown complete obstruction of the main left bronchus, at 1.7-2 cm from the carina. Fibrosis after posttraumatic bronchial disruption was the cause of the stenosis. Surgical treatment was the choice, with segmental resection of the main left bronchus and reanastomosis; the permeability was maintained on a month after the surgical intervention.
我们介绍一名25岁患者的病例,该患者在来我院就诊前两个月发生了车祸。当时,他有多根肋骨骨折和左侧血胸,通过手术治疗得以解决。在本次就诊时:左半胸下半部呈浊音,该部位呼吸音消失。放射学检查显示左肺不张,支气管镜检查发现左主支气管完全狭窄,而计算机断层扫描显示左主支气管在距隆突1.7 - 2厘米处完全阻塞。创伤后支气管破裂后的纤维化是狭窄的原因。治疗选择为手术,即左主支气管节段性切除并重新吻合;手术干预一个月后保持了通畅。