Asakura S, Kato H, Fujino S, Inoue S, Mori A, Kitajima K
Second Department of Surgery, Shiga University of Medical Science, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1997 Apr;45(4):563-8.
We present two cases of injury to the cervical trachea and the tracheal bifurcation due to blunt trauma. A 20-year-old man sustained complete disruption of the cervical trachea during a traffic accident. He underwent end-to-end anastomosis of the disrupted trachea. Nevertheless, 3 weeks after the initial surgery, tracheostomy was required because of suture failure. Two months after the second procedure, he underwent closure of the tracheostoma. Granulation developed temporarily, but diminished thereafter. The second case was a 14-year-old boy. He sustained a longitudinal laceration about 3 cm from the tracheal over the membranous portion during a traffic accident. The laceration was successfully repaired by interrupted sutures with absorbable materials. Our experiences emphasize the importance of debridement of the injured cartilageous portion during treatment of tracheal injury due to blunt trauma and the difficulty in managing complete disruption of the cervical trachea with bilateral paralysis of the recurrent nerve.
我们报告两例因钝性创伤导致颈段气管及气管分叉损伤的病例。一名20岁男性在交通事故中颈段气管完全断裂。他接受了气管断端端端吻合术。然而，初次手术后3周，由于缝合失败，需要进行气管造口术。第二次手术后两个月，他接受了气管造口闭合术。术后暂时出现肉芽组织增生，但随后逐渐消退。第二例是一名14岁男孩。他在交通事故中气管膜部距气管隆突约3 cm处出现纵行撕裂伤。使用可吸收材料间断缝合成功修复了撕裂伤。我们的经验强调了在钝性创伤所致气管损伤的治疗中，对损伤的软骨部分进行清创的重要性，以及处理颈段气管完全断裂伴双侧喉返神经麻痹的困难。
