Palade E, Passlick B
Abt. für Thoraxchirurgie, Universitätsklinikum Freiburg, Deutschland.
Chirurg. 2011 Feb;82(2):141-7. doi: 10.1007/s00104-010-1976-5.
Tracheal injuries are altogether rare events and can be divided into three broad categories: tracheobronchial injuries caused by external violence, iatrogenic ruptures of the trachea and inhalation trauma. Successful management of tracheobronchial injuries requires a fast and straightforward diagnostic evaluation. In all severely injured patients with cervicothoracic involvement an injury of the tracheobronchial system should be actively excluded. Although it is commonly agreed that posttraumatic injuries require surgical intervention the management of iatrogenic injuries is presently shifting towards a more conservative treatment.
气管损伤是极为罕见的事件,可分为三大类:由外部暴力导致的气管支气管损伤、气管医源性破裂和吸入性创伤。成功处理气管支气管损伤需要快速且直接的诊断评估。在所有涉及颈胸部的严重受伤患者中,应积极排除气管支气管系统损伤。尽管普遍认为创伤后损伤需要手术干预,但目前医源性损伤的处理正朝着更保守的治疗方式转变。