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钝性胸部损伤后被忽视的支气管破裂

[Overlooked bronchial rupture after blunt thoracic injury].

作者信息

Ilkjaer L B, Pilegaard H K, Bille S

机构信息

Hjerte-, lunge-, karkirurgisk afdeling T., Skejby Sygehus, Arhus.

出版信息

Ugeskr Laeger. 1994 Nov 7;156(45):6704-5.

PMID:7839487
Abstract

A 72-year-old man developed a total atelectasis of the right lung six weeks after a blunt trauma in a motor vehicle accident. Bronchoscopy demonstrated a total fibrotic occlusion of the right main bronchus. By re-examination of earlier case sheets and chest x-rays it was suspected that the patient had suffered a partiel bronchial rupture from the accident. One and a half centimetres of the bronchus were resected with a good result. Findings and treatment of this rare complication are discussed.

摘要

一名72岁男性在机动车事故中遭受钝性创伤六周后出现右肺完全肺不张。支气管镜检查显示右主支气管完全纤维化闭塞。通过重新检查早期病历和胸部X光片,怀疑患者在事故中发生了部分支气管破裂。切除了1.5厘米的支气管,效果良好。本文讨论了这种罕见并发症的发现和治疗方法。

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