Yamanda T, Aoki T, Kaneko K, Miyazawa M, Yoshida K, Haniuda M
Second Department of Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1995 Apr;43(4):543-6.
A complete disruption of the cervical trachea due to blunt trauma is relatively rare. Because of dislocation of the disrupted trachea and/or bleeding into airway, this is a mostly fatal accident. This article reports the author's experience with the successful surgical treatment of the complete disruption of the cervical trachea. A 60-year-old man suffered from a cervical blunt trauma by traffic accident and referred to our hospital. He had a dyspnea and severe subcutaneous emphysema around neck and anterior chest wall. Urgent fiberoptic bronchoscopy (FOB) revealed a complete disruption of the cervical trachea. After intubation under guide of FOB, he underwent an end to end anastomosis of the disrupted trachea from cervical approach. Tracheostomy was performed two months later, because of his bilateral recurrent nerve paralysis. The patient is alive and well 25 months after surgery. It should be emphasized that early diagnosis and adequate management are important to save patients with complete disruption of the trachea due to blunt trauma.
钝性创伤导致的颈段气管完全断裂相对少见。由于断裂气管的移位和/或气道内出血，这大多是致命性事故。本文报道了作者成功手术治疗颈段气管完全断裂的经验。一名60岁男性因交通事故遭受颈部钝性创伤，被转诊至我院。他有呼吸困难，颈部及前胸壁周围有严重皮下气肿。紧急纤维支气管镜检查（FOB）显示颈段气管完全断裂。在FOB引导下插管后，他经颈部入路对断裂气管进行了端端吻合。两个月后因双侧喉返神经麻痹行气管切开术。术后25个月患者存活且状况良好。应当强调的是，早期诊断和恰当处理对于挽救因钝性创伤导致气管完全断裂的患者很重要。
