McCarthy J F, Claffey L P, O'Donovan F, Guiney E J, Luke D A
Department of Cardiothoracic Surgery, Mater Misericordiae Hospital, Dublin, Ireland.
J Trauma. 1996 Nov;41(5):892-4. doi: 10.1097/00005373-199611000-00023.
The clinical features and successful management of a patient with right main bronchus disruption after blunt chest trauma are described. The presentation was one of bilateral tension pneumothoraces. A high index of suspicion, coupled with appropriate airway management at presentation, was vital for the successful treatment of this patient. Surgical resection using a sleeve lobectomy, an operation rarely used in trauma patients, was highly effective in this patient, and the technique is described in this report.
本文描述了一名钝性胸部创伤后右主支气管断裂患者的临床特征及成功治疗过程。患者表现为双侧张力性气胸。高度的怀疑指数,再加上就诊时适当的气道管理,对该患者的成功治疗至关重要。采用袖状肺叶切除术进行手术切除,这是一种在创伤患者中很少使用的手术方式,但对该患者非常有效,本报告对此技术进行了描述。