Limet R, Kerzman R, Janvier C, Honoré D
Acta Chir Belg. 1981 Jan-Feb;80(1):41-6.
A series of 18 ruptures of trachea or bronchi is reported. Gaseous semiology is predominant (pneumomediastinum and subcutaneous emphysema 72%, pneumothorax 67%). Haemoptysis is present in 28%. Assessment of the diagnosis and localization of the rupture was obtained through rigid bronchoscopy, early in the series, and then via fiberoptic endoscopy. Ignored cases in the early phase manifested themselves lately by atelectatic phenomena. Tracheal ruptures (5) were treated by direct repair (1/5) or tracheostomy (3/5) ; 1 died before surgery. Bronchial ruptures (13) were submitted to bronchoplastic procedures (7/13) or pulmonary resection (4/13). In 2 cases, no surgery was necessary or possible. Mortality (7/18) is linked with the importance of associated lesions, especially neurological ones.
报告了一系列18例气管或支气管破裂病例。气体征候学占主导（纵隔气肿和皮下气肿占72%，气胸占67%）。咯血占28%。在该系列病例早期，通过硬支气管镜对破裂进行诊断和定位评估，之后通过纤维内镜进行评估。早期被忽视的病例后来出现肺不张现象。气管破裂（5例）采用直接修复（1/5）或气管造口术（3/5）治疗；1例在手术前死亡。支气管破裂（13例）接受支气管成形术（7/13）或肺切除术（4/13）。2例无需手术或无法进行手术。死亡率（7/18）与相关损伤的严重程度有关，尤其是神经损伤。
