Schwarze Erik, Chang Donald D, Cleary Corbin J, Rakitin Ilya
Department of General Surgery, Henry Ford Hospital, Detroit, MI, USA.
Department of Thoracic Surgery, Henry Ford Hospital, Detroit, MI, USA.
J Surg Case Rep. 2023 Mar 31;2023(3):rjac627. doi: 10.1093/jscr/rjac627. eCollection 2023 Mar.
Traumatic bronchial tears are rare life-threatening injuries. Here, we report a 28-year old male who presented after sustaining a crush injury to his thoracic cavity, resulting in a spiral left mainstem bronchial tear secondary to high intraluminal pressure. While preparing for surgery, a preoperative bronchoscopy found that the bronchial tear had re-approximated and effectively sealed the laceration. No operative intervention was performed and the patient subsequently underwent a full recovery. While most bronchial tears undergo surgical intervention, our report describes the successful management of a bronchial tear injury with a non-operative approach and supportive care.
创伤性支气管撕裂是罕见的危及生命的损伤。在此，我们报告一名28岁男性，他在胸腔遭受挤压伤后就诊，因管腔内压力过高导致左主支气管螺旋形撕裂。在准备手术时，术前支气管镜检查发现支气管撕裂已重新靠近并有效封闭了裂伤。未进行手术干预，患者随后完全康复。虽然大多数支气管撕裂需要手术干预，但我们的报告描述了采用非手术方法和支持性护理成功处理支气管撕裂伤的案例。
