Paraschiv M
General Surgery Clinic, "Bagdasar-Arseni" Emergency Hospital, Bucharest.
J Med Life. 2014 Sep 15;7(3):343-8. Epub 2014 Sep 25.
Iatrogenic tracheobronchial ruptures most frequently occur during tracheal intubation, but they can also be produced during tracheobronchial endoscopy or thoracic surgery. The clinical presentation can be brutal, with respiratory failure, cervical emphysema, pneumothorax and hemoptysis. There are also less symptomatic presentations. The diagnosis is confirmed by bronchoscopy. The therapeutic approach can be differentiated, surgical or conservative, although the criteria are not universally accepted. This article aims to review the indications and therapeutic options.
医源性气管支气管破裂最常发生于气管插管期间,但也可在气管支气管内镜检查或胸外科手术过程中发生。临床表现可能很严重,包括呼吸衰竭、颈部气肿、气胸和咯血。也有症状较轻的表现。通过支气管镜检查可确诊。治疗方法可分为手术治疗或保守治疗,尽管相关标准尚未得到普遍认可。本文旨在综述其适应证和治疗选择。