Marzelle J, Nottin R, Dartevelle P, Gayet F L, Navajas M, Rojas Miranda A
Thoracic Department, Marie-Lannelongue Hospital, Le Plessis Robinson, France.
Ann Thorac Surg. 1989 May;47(5):769-71. doi: 10.1016/0003-4975(89)90141-0.
After blunt chest trauma, early diagnosis of associated bronchial, vascular, and esophageal injuries must be attempted, as those lesions may be produced by the same mechanism. We report a case of successful management of associated bronchial transection and injury of the ascending aorta. Aortic repair required cardiopulmonary bypass and the use of prosthetic materials, although gross contamination of the mediastinum from the bronchial disruption is a theoretical contraindication to such a procedure. A separate approach to the vascular and airway injuries allowed successful management of both lesions.
钝性胸部创伤后，必须尝试早期诊断相关的支气管、血管和食管损伤，因为这些损伤可能由相同机制引起。我们报告一例成功处理合并支气管横断和升主动脉损伤的病例。主动脉修复需要体外循环和使用人工材料，尽管支气管破裂导致纵隔严重污染从理论上讲是这种手术的禁忌证。对血管和气道损伤采用单独的处理方法使两个损伤均得到成功处理。
