Department of Otolaryngology, Sydney Children's Hospital, Randwick, NSW, Australia.
Department of Paediatric Surgery, Sydney Children's Hospital, Randwick, NSW, Australia.
Ann Otol Rhinol Laryngol. 2022 Aug;131(8):923-927. doi: 10.1177/00034894211046707. Epub 2021 Sep 19.
This paper presents the case of a traumatic tracheal rupture in a pediatric patient. The body of literature of the clinical features, evaluation, and management of this uncommon presentation is discussed.
A 13-year-old boy sustained an intrathoracic tracheal rupture whilst playing Australian Rules football. He developed hallmark clinical features of air extravasation and was intubated prior to transfer to a tertiary pediatric center for further management. After a short trial of conservative management, his respiratory status deteriorated and he was taken to the operating theater for open surgical repair of the defect.
Traumatic rupture of the trachea is a rare injury in children. This case demonstrates the dynamic nature of this serious injury and the need for multidisciplinary care in achieving the optimal outcome.
本文介绍了一例小儿外伤性气管破裂的病例。讨论了这种罕见表现的临床特征、评估和治疗的文献。
一名 13 岁男孩在玩澳大利亚足球时发生了胸腔内气管破裂。他出现了空气外渗的标志性临床特征，并在转至三级儿科中心进一步治疗之前进行了插管。在进行了短暂的保守治疗后，他的呼吸状况恶化，被送往手术室进行开放性手术修复缺陷。
外伤性气管破裂在儿童中较为罕见。本病例说明了这种严重损伤的动态变化，以及多学科治疗对于获得最佳治疗效果的必要性。
