Boubia S, Fouraiji K, Elkari A, Sibai H, Chlilek M, Ridai M
Service de chirurgie thoracique, aile II, CHU Ibn Rochd, Casablanca, Morocco.
Arch Pediatr. 2010 Jul;17(7):1059-61. doi: 10.1016/j.arcped.2010.03.004. Epub 2010 Apr 24.
Tracheobronchial rupture after blunt trauma is rare, especially in a pediatric population. In this paper, we report the case of a 3-year-old child who presented with a rupture of the tracheobronchial tree as a result of multiple injuries (thoracic and cerebral) sustained from a traffic accident. The surgical repair consisted of a sleeve resection (right upper lobectomy with reanastomosis of the bronchus intermedius to the right stem bronchus). As tracheobronchial rupture is a rare condition, particularly in children, physicians must have a high index of suspicion. The diagnosis and treatment of this condition are discussed.
钝性创伤后气管支气管破裂很少见,尤其是在儿童群体中。在本文中,我们报告了一名3岁儿童的病例,该儿童因交通事故遭受多处损伤(胸部和脑部),导致气管支气管树破裂。手术修复包括袖状切除术(右上叶切除并将中间支气管与右主支气管重新吻合)。由于气管支气管破裂是一种罕见疾病,尤其是在儿童中,医生必须保持高度的怀疑指数。本文讨论了该疾病的诊断和治疗。