Ekeström S, Bergdahl L
Acta Chir Scand. 1983;149(2):221-3.
Intrathoracic tracheal rupture following closed chest trauma is a potentially lethal injury which can be successfully repaired if the diagnosis is made early. Dyspnoea, mediastinal emphysema and pneumothorax which do not respond to intercostal tube drainage should alert the clinician to the possibility of intrathoracic tracheal rupture. A case is described. A 17-year-old boy sustained two longitudinal lacerations of the membranous portion of the intrathoracic trachea in association with blunt chest trauma. The diagnosis was delayed because of coexisting head injury. The tracheal lacerations were successfully repaired via a right thoracotomy. The principles of management in such injuries are reviewed.
闭合性胸部创伤后发生的胸内气管破裂是一种潜在的致命伤，如果能早期诊断则可成功修复。对肋间引流无反应的呼吸困难、纵隔气肿和气胸应提醒临床医生注意胸内气管破裂的可能性。本文描述了一例病例。一名17岁男孩在钝性胸部创伤后，胸内气管膜部出现两处纵行撕裂伤。由于同时存在头部损伤，诊断被延误。通过右胸切开术成功修复了气管撕裂伤。本文对这类损伤的处理原则进行了综述。
