Hsu Kevin J, Chandler Kiyoshi, Fasanya Charles, Hsu John W
Trauma and Acute Care Surgery, Good Samaritan University Hospital, West Islip, USA.
Cureus. 2024 Dec 21;16(12):e76145. doi: 10.7759/cureus.76145. eCollection 2024 Dec.
High-energy blunt thoracic trauma is a highly morbid condition. When a pneumonectomy is required in such a setting, the mortality rate increases significantly. Here, we present a case of a motor vehicular crash (MVC) in which the patient suffered bilateral bronchial injuries requiring emergent thoracotomy, pneumonectomy, bronchial stenting, and initiation of venovenous extracorporeal membrane oxygenation (VV ECMO). The patient ultimately survived his injuries and was able to fully recover. We review the relevant literature in regard to the use of pulmonary stenting and VV ECMO in the setting of thoracic trauma management.
高能钝性胸部创伤是一种高发病症。在此种情况下需要进行肺切除术时，死亡率会显著上升。在此，我们呈现一例机动车碰撞事故（MVC）病例，该患者双侧支气管受损，需要紧急开胸手术、肺切除术、支气管支架置入术，并启动静脉-静脉体外膜肺氧合（VV ECMO）。患者最终从损伤中存活下来并得以完全康复。我们回顾了关于在胸部创伤管理中使用肺部支架和VV ECMO的相关文献。
