Ogawa J, Minami T, Yamada S, Iwazaki M, Suzuki I, Inoue H, Shohtsu A
Rinsho Kyobu Geka. 1989 Oct;9(5):498-501.
A 18-year-old female, who had incomplete transection of the left main bronchus and laryngeal fracture, due to blunt trauma, is reported. Chest X-ray on admission showed subcutaneous emphysema extending to the cervical soft tissues and marked pneumomediastinum. Bronchoscopic examination revealed disruption of the left main bronchus, leaving only the membranous portion. An emergency operation was performed 5 hours after the injury. A week later, bronchoscopic reexamination revealed tracheal stenosis just below the vocal cord, due to fracture of the cricoid and thyroid cartilages, which was enlarged to a certain extent by laryngoscopic intervention under cooperation of the laryngologist. The patient's postoperative course was uneventful, and two months later, was well with tracheostomy.
报道了一名18岁女性，因钝性创伤导致左主支气管不完全横断和喉骨折。入院时胸部X线显示皮下气肿延伸至颈部软组织，并有明显的纵隔气肿。支气管镜检查发现左主支气管中断，仅留下膜部。受伤后5小时进行了急诊手术。一周后，支气管镜复查发现由于环状软骨和甲状软骨骨折，声带下方出现气管狭窄，在喉科医生的配合下通过喉镜干预使其扩大到一定程度。患者术后恢复顺利，两个月后，气管造口情况良好。
