创伤性气管支气管断裂的诊断及治疗  

The diagnosis and treatment of traumatic rupture of trachea or bronchus

作　　者：于奇[1] 疏元善[1] 俞春江[1] 缪军[1] 陶宇[1] 徐峰[1] 

机构地区：[1]解放军第105医院心胸外科,合肥230031

出　　处：《东南国防医药》2003年第6期405-406,共2页Military Medical Journal of Southeast China

摘　　要：目的　分析创伤性气管、支气管断裂的诊断及治疗 ,总结早期急诊及晚期诊断 (1周后 )依据 ,探讨误诊原因 ,分析治疗效果。方法　本组1 1例 ,伤后距手术时间 72小时 8例 ,6周至 3个月 3例。气管、支气管断端吻合 8例 ,修补成形 3例。结果　治愈 1 0例 ,死亡 1例。结论　早期诊断、早期治疗及应用生物蛋白胶可提高治愈率 ,减少术后并发症 。Objective The aim of the paper is to report the diagnosis and treatment of traumatic rupture of trachea or bronchus, to sum up the evidences of early diagnosis and late diagnosis (1 week after injury), to discuss the causes of misdiagnosis, and to analyze surgical curative effects. Methods There are 11 cases received operative treatment. 8 cases were performed within 72 hours after injury, others were performed from 6 weeks to 3 months. And of them 8 cases received end to end tracheal or bronchial anastomosis, 3 cases received bronchorthaphy. Results 10 cases survived and 1 cases died. Conclusions Early diagnosis, treament and the using of biological fibrin glue can improve the curative rate, decrease the complications after surgery, and benefit the recovery of excellent pulmonary function.

关 键 词：气管支气管断裂 创伤 诊断 治疗 

分 类 号：R655[医药卫生—外科学]