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一名儿童因钝性胸部创伤导致左主支气管完全横断，经支气管成形术及保留肺实质治疗。

Complete transection of the left main bronchus caused by blunt thoracic trauma in a child treated by bronchoplasty and lung parenchyma preservation.

作者信息

Mimura Takeshi, Miyata Yoshihiro, Tsutani Yasuhiro, Takamizawa Shigeru, Nishijima Eiji, Okada Morihito

机构信息

Department of Surgical Oncology, Research Institute for Radiation Biology and Medicine, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan.

Department of Surgery, Nagano Children's Hospital, Nagano, Japan.

出版信息

Gen Thorac Cardiovasc Surg. 2016 Feb;64(2):113-5. doi: 10.1007/s11748-014-0448-0. Epub 2014 Jul 4.

DOI:10.1007/s11748-014-0448-0
PMID:24993603
Abstract

Blunt bronchial injuries can be difficult to diagnose and can present months or years after an initial incident. The present case report describes complete transection of a major airway after a potentially fatal delayed diagnosis with a successful outcome after bronchoplasty without the removal of lung parenchyma.

摘要

钝性支气管损伤可能难以诊断，且可能在初次受伤数月或数年之后才出现症状。本病例报告描述了一例主要气道完全横断的情况，该患者最初诊断延误，存在潜在致命风险，最终在未切除肺实质的情况下成功进行支气管成形术，获得了良好预后。

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本文引用的文献

1
Delayed presentation and treatment of tracheobronchial injuries due to blunt trauma.钝性创伤所致气管支气管损伤的延迟就诊与治疗
J Surg Educ. 2008 Jul-Aug;65(4):302-8. doi: 10.1016/j.jsurg.2008.06.006.
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Studies of the reexpanded lung after prolonged atelectasis.长期肺不张后复张肺的研究。
AMA Arch Surg. 1953 Jun;66(6):801-9. doi: 10.1001/archsurg.1953.01260030821011.
3
A review of 24 patients with bronchial ruptures: is delay in diagnosis more common in children?
单一临床中心儿童创伤性支气管破裂的诊治经验
Pediatr Surg Int. 2020 Sep;36(9):1019-1025. doi: 10.1007/s00383-020-04703-2. Epub 2020 Jun 22.
Eur J Cardiothorac Surg. 2003 Mar;23(3):379-83. doi: 10.1016/s1010-7940(02)00754-6.
4
Extended sleeve lobectomy for lung cancer: the avoidance of pneumonectomy.肺癌扩大袖式肺叶切除术：避免全肺切除术。
J Thorac Cardiovasc Surg. 1999 Oct;118(4):710-3; discussion 713-4. doi: 10.1016/S0022-5223(99)70017-6.