Yamamoto K, Suzuki M, Nakazawa S, Katagiri M, Kasuya S, Sakashita I
Department of Thoracic and Cardiovascular Surgery, Tachikawa General Hospital.
Kyobu Geka. 1990 Aug;43(9):761-2.
A 30-year-old man was taken to the emergency room of this hospital because of chest injury following traffic accident. On arrival he was found to be dyspneic due to multiple rib fractures (flail chest) and tension pneumothorax on the left, and was intubated immediately concomitantly with a chest drainage. During the management with the respirator, he was also noticed to have continuous bleeding from the airway. The X-ray film of the chest showed a suspicion of foreign materials on the right hilar region and subsequent bronchoscopic examination revealed the presence of several fragments of a broken windshield in the bronchial trees. Nine fragments were removed bronchoscopically. Tracheal tube was extubated on the 14th day and he was discharged on the 28th day without any sequela.
一名30岁男性因交通事故胸部受伤被送至本院急诊室。入院时，发现他因多根肋骨骨折（连枷胸）和左侧张力性气胸而呼吸困难，随即进行了气管插管并同时进行胸腔引流。在使用呼吸机治疗期间，还发现他气道持续出血。胸部X光片显示右肺门区疑似有异物，随后的支气管镜检查发现支气管树中有几块破碎挡风玻璃碎片。通过支气管镜取出了9块碎片。气管插管于第14天拔除，他于第28天出院，无任何后遗症。
