Department of Surgery, R Adams Cowley Shock Trauma Center, Baltimore, Maryland.
Department of Surgery, R Adams Cowley Shock Trauma Center, Baltimore, Maryland.
Ann Thorac Surg. 2022 Jan;113(1):e49-e51. doi: 10.1016/j.athoracsur.2021.03.029. Epub 2021 Mar 24.
Tracheal trauma is uncommon but carries major morbidity and mortality. A 26-year-old man sustained a near-transection of the cervical trachea due to penetrating trauma. Venovenous extracorporeal membrane oxygenation support allowed a controlled primary repair with muscular buttress and facilitated airway management. Facial injuries prevented oral intubation, and retrograde intubation through the transection established an airway. On the 10th postoperative day a percutaneous tracheostomy was performed through the surgical site. This case discusses the management, technical details, and adjuncts to successfully repair complex tracheal injuries.
气管创伤并不常见，但会带来严重的发病率和死亡率。一名 26 岁男子因穿透性创伤导致颈段气管近乎完全断裂。静脉-静脉体外膜肺氧合支持允许进行控制性一期修复，并使用肌肉支撑物，同时便于气道管理。面部损伤妨碍了经口插管，通过断裂部位逆行插管建立了气道。术后第 10 天行经皮气管切开术，通过手术部位进行。本病例讨论了成功修复复杂气管损伤的管理、技术细节和辅助措施。
