Mack D, Dörrler J, Harlacher A, Schuh R
Prax Klin Pneumol. 1979 Apr;33 Suppl 1:444-6.
Clinical symptoms such as mediastinal and tissue emphysema, impaired inflow with cyanosis and extreme dyspnoea, signs of tension pneumothorax suggest rupture of a bronchus; nonstop loss of air via intercostal drainage is an almost certain sign and bronchoscopy provides the final proof. Injury to smaller bronchi may remain asymptomatic. 1,600 persons were treated for chest injury during the past 17 years, 7 of them on account of a ruptured bronchus. The right and left main bronchus were involved in 4 cases and one case respectively. The bronchus of the right upper lobe and the trachea were ruptured in one case each. Once the injury has been diagnosed surgical repair should follow quickly, although the results of anastomoses performed at a later stage were also satisfactory. Closure was by chromcut knotted sutures. Partial pneumonectomy is indicated only if damage to the lungs is extensive. The postoperative respiratory function of the injured lung was satisfactory in all cases.
纵隔气肿和组织气肿、因血流受阻出现发绀及极度呼吸困难等临床症状、张力性气胸体征提示支气管破裂；肋间引流持续漏气几乎可确诊，支气管镜检查可提供最终证据。较小支气管损伤可能无症状。在过去17年中，有1600人接受了胸部损伤治疗，其中7人因支气管破裂接受治疗。右主支气管和左主支气管分别有4例和1例受累。右上叶支气管和气管各有1例破裂。一旦确诊损伤，应迅速进行手术修复，尽管后期进行吻合的结果也令人满意。采用铬制切割缝线缝合。仅在肺部损伤广泛时才进行部分肺切除术。所有病例中受伤肺的术后呼吸功能均令人满意。
