Lazar H L, Thomashow B, King T C
Ann Thorac Surg. 1984 Jun;37(6):505-7. doi: 10.1016/s0003-4975(10)61143-5.
A 24-year-old man was transferred to Columbia-Presbyterian Medical Center from a local hospital 24 hours after a car crash. Bronchoscopy at the local hospital revealed transection with discontinuity of the trachea just above the carina. At Columbia-Presbyterian Medical Center, following cautious intubation without positive airway pressure, a right posterolateral thoracotomy was performed, and the bronchi were intubated with sterile endotracheal tubes for initial airway control. A 6-cm tracheal disruption was repaired. Early care was complicated by chest wall instability and pulmonary contusions, but the patient was discharged breathing comfortably on the tenth postoperative day. Subsequent to discharge, flow-volume loops revealed the development of a tracheal stricture. Three months after the initial procedure, tracheal resection for stenosis was completed. To date, the patient is asymptomatic.
一名24岁男性在车祸后24小时从当地医院转至哥伦比亚长老会医学中心。当地医院的支气管镜检查显示气管隆突上方气管横断且不连续。在哥伦比亚长老会医学中心，在谨慎插管且无气道正压的情况下，进行了右后外侧开胸手术，并用无菌气管内导管对支气管进行插管以初步控制气道。修复了6厘米长的气管破裂处。早期护理因胸壁不稳定和肺挫伤而复杂化，但患者在术后第十天呼吸舒适地出院。出院后，流量容积环显示出现气管狭窄。在初次手术后三个月，完成了因狭窄进行的气管切除术。迄今为止，该患者无症状。
