Huzly A
Prax Klin Pneumol. 1979 Apr;33 Suppl 1:439-43.
On the whole, only few lesions of the trachea and main bronchi are amenable to treatment. The ideal treatment is that which is applied immediately in so far as successful management of the acute shock has been achieved. Reluctance to effect mechanical stabilisation of the thoracic wall by means of wires or metal plates, has been fortunately abandoned. The increased application of fibre bronchoscopy by surgical intensive-care units, or regular consultation of a bronchologist or thoracic surgeon, has improved chances of earlier detection of any serious lesion of the main respiratory tract. Lesions of the parenchyma are important and significant only to the extent as they can become serious or insurmountable obstacles during immediate dressing and final surgical treatment if they are present side by side with a lesion of the trachea or of the main bronchi.
总体而言，气管和主支气管的病变只有少数适合治疗。理想的治疗方法是在成功处理急性休克后立即实施。所幸的是，过去那种不愿通过钢丝或金属板对胸壁进行机械固定的做法已被摒弃。外科重症监护病房纤维支气管镜检查应用的增加，或定期咨询支气管病专家或胸外科医生，提高了早期发现主呼吸道任何严重病变的几率。实质病变只有在与气管或主支气管病变并存时，在即时包扎和最终手术治疗过程中可能成为严重或无法克服的障碍时，才具有重要意义。
