Yang Cheng, Wang Da-Liang, Du Yang-Lin, Wang Qiang-Fei, Suo Yuan, Yu Hui-Jie
Jiaxing University Master Degree Cultivation Base, Zhejiang Chinese Medical University, Jiaxing, 314000, Zhengjiang province, China; Emergency Department, The First Hospital of Jiaxing, Jiaxing, 314000, Zhengjiang province, China.
Emergency Department, The First People's Hospital of Jiashan, Jiashan, 314100, Zhengjiang province, China.
Chin J Traumatol. 2025 Sep;28(5):378-381. doi: 10.1016/j.cjtee.2024.08.003. Epub 2024 Aug 6.
Traumatic main bronchus rupture is a relatively rare injury in thoracic trauma, which is extremely critical, with a mortality rate as high as 70% - 80%. The complete rupture and displacement of the traumatic cervical trachea can lead to asphyxia, hypoxia, and cardiac arrest, even death of the patient in a short time. We performed emergency surgery with the support of extracorporeal membrane oxygenation for a case of traumatic cervical tracheal trunk complete rupture and displacement combined with cardiac arrest and achieved a successful rescue. We summarized our experience and found that timely surgical reconstruction of the airway is the key to increasing the traumatic main bronchus rupture survival of patients.
创伤性主支气管破裂是胸部创伤中相对罕见的损伤，极为危急，死亡率高达70% - 80%。创伤性颈段气管完全断裂并移位可导致窒息、缺氧和心脏骤停，甚至患者在短时间内死亡。我们在体外膜肺氧合支持下对1例创伤性颈段气管主干完全断裂并移位合并心脏骤停患者进行了急诊手术，成功抢救。我们总结经验发现，及时进行气道重建手术是提高创伤性主支气管破裂患者生存率的关键。
