Fleißner Felix, Timm Max Eike, Lang Carl Philipp, Lenarz Thomas, Kühn Christian, Jaeger Daniel Benjamin
Department of Cardiac, Thoracic, Transplantation and Vascular Surgery, Hannover Medical School, Hannover, Germany.
Department of Otorhinolaryngology, Hannover Medical School, Hannover, Niedersachsen, Germany.
Thorac Cardiovasc Surg Rep. 2020 Jan;9(1):e24-e28. doi: 10.1055/s-0040-1710586. Epub 2020 May 22.
Traumatic injury of the trachea is rare, especially complete transection. Its operative revision requires an interdisciplinary approach. We hereby present a rare case of complete transection of the trachea by accident. To stabilize the patient and to allow for safe surgery, veno-venous extracorporeal support was initiated via the subclavian artery and the femoral vein. The patient was subsequently operated, and the trachea re-anastomosed with favorable outcome. This rare case of an accidental transection of the trachea shows the importance of a good emergency rescue chain and the ability to facilitate interdisciplinary approaches in tertiary hospitals.
气管创伤很少见，尤其是完全横断伤。其手术修复需要多学科协作。
我们在此报告一例罕见的气管意外完全横断伤病例。为稳定患者病情并确保手术安全，通过锁骨下动脉和股静脉建立了静脉 - 静脉体外支持。随后患者接受手术，气管重新吻合，预后良好。
这例罕见的气管意外横断伤病例显示了良好的急救链以及三级医院开展多学科协作能力的重要性。
