Mukunda Venkata, Mehta Anuj, Panchal Nirav
Department of Cardiovascular & Thoracic Surgery, U. N. Mehta Institute of Cardiology and Research Center, Civil Hospital Campus, Asarwa, Ahmedabad, Gujarat India 380016.
Indian J Thorac Cardiovasc Surg. 2025 Jul;41(7):924-932. doi: 10.1007/s12055-024-01878-4. Epub 2024 Dec 30.
Airway injuries or tracheobronchial injuries are defined as the injury to the larynx, trachea, carina, and main bronchi, and the bifurcation to lobar or secondary bronchi. These can be grossly divided into upper and lower airways. Trauma, both the penetrating variety as well as blunt forces, leads to disruption of these structures leading onto potentially fatal injuries. Tracheobronchial injuries need a high degree of suspicion for early diagnosis. Prompt resuscitation and early intubation with ICD insertion are a life-saving measure. Where required, early exploration and primary anastomosis with early weaning off ventilatory support offers the best chance of recovery, and where necessary a decision to pursue conservative management is also essential.
气道损伤或气管支气管损伤是指喉部、气管、隆突、主支气管以及向叶支气管或二级支气管分支处的损伤。这些损伤可大致分为上气道和下气道损伤。创伤，包括穿透性创伤和钝性暴力，均可导致这些结构的破坏，进而引发潜在的致命伤。气管支气管损伤需要高度怀疑才能早期诊断。迅速复苏并早期插管及插入胸腔闭式引流管是挽救生命的措施。必要时，早期探查和一期吻合术以及尽早撤离通气支持可提供最佳的康复机会，而且在必要时，决定采取保守治疗也至关重要。
