Halttunen P E, Kostiainen S A, Meurala H G
Scand J Thorac Cardiovasc Surg. 1984;18(2):141-4. doi: 10.3109/14017438409102395.
Tracheobronchial rupture is a rare and serious complication of blunt chest trauma. The cause is often a traffic accident and the rupture may be associated with other, fatal injuries. Three cases were treated at our clinic in the period 1970-1982. In them, as in about 60% of all cases in the literature, the tracheobronchial injury was not recognized in the acute stage. The early clinical picture may vary, depending on the site and extent of the injury, from only minimal mediastinal emphysema to severe dyspnea with extensive subcutaneous and mediastinal emphysema or persistent pneumothorax. The correct diagnosis was confirmed in all three of the described cases by bronchoscopy, which was performed in the late course because of respiratory difficulties and roentgenographic evidence of pulmonary complications. Since early surgical repair is essential for a good functional result, the possibility of tracheobronchial rupture must be kept in mind in any case of severe thoracic trauma.
气管支气管破裂是钝性胸部创伤中一种罕见且严重的并发症。其病因常为交通事故，破裂可能与其他致命伤相关。1970年至1982年期间，我们诊所治疗了3例此类病例。在这些病例中，如同文献中约60%的所有病例一样，气管支气管损伤在急性期未被识别。早期临床表现可能各异，取决于损伤的部位和程度，从仅轻微的纵隔气肿到伴有广泛皮下和纵隔气肿或持续性气胸的严重呼吸困难。所描述的3例病例均通过支气管镜检查确诊，支气管镜检查是在后期因呼吸困难和肺部并发症的X线证据而进行的。由于早期手术修复对于良好的功能恢复至关重要，在任何严重胸部创伤病例中都必须考虑到气管支气管破裂的可能性。
