创伤性支气管断裂的诊断与外科治疗  

The diagnosis and surgical treatment of traumatic bronchial rupture

作　　者：郭向东[1] 洪澜[1] 吕静[1] 孙小康[1] 赵长明[1] 谭程[1] 薛杨[1] 刁明强[1] 

机构地区：[1]德阳市人民医院胸心外科,四川德阳618000

出　　处：《四川医学》2012年第11期1933-1934,共2页Sichuan Medical Journal

摘　　要：目的探讨11例创伤性支气管断裂的诊断,外科治疗的经验。方法回顾性分析1997年7月～2012年2月手术治疗11例创伤性支气管断裂患者,11例均行支气管对端吻合,其中2例合并支气管膜部撕裂,加行膜部修补术。结果全组11例无死亡,术后11例均复查X线胸片及10例做胸部CT检查肺复张良好,其中7例术后6个月内行纤支镜检查,见吻合处通畅,吻合口平整,光滑。随访6个月～2年,所有患者恢复良好。结论创伤性支气管断裂易误诊,借助支气管断裂的特征性影像学表现及支气管镜检查可提高支气管断裂的诊断率,早期诊断尽早手术治疗对挽救患者并获得良好的预后具有十分重要意义。Objective To explore the experience of diagnosis and surgical treatment of traumatic bronchial rupture of 11 cases.Methods 11 patients with traumatic bronchial rupture from July 1997 to February 2012 were analyzed retrospectively on surgical management.Bronchial end-to-end anastomosis was performed on 11 patients,among them 2 cases with avulsion of bronchial membranous,and add the neoplasty.Results The group of 11 patients without death,whose lung was well ventilated by rechecked the X-ray chest films and ten of them rechecked chest CT.Among them 7 cases rechecked fiberoptic bronchoscopy in 6 months: saw the bronchial anastomosis unobstructed and smooth.Following-up 6 months to 2 years,all patients recovered well.Conclusion Traumatic bronchial rupture caused more misdiagnoses,but we can improve the diagnosis rate of bronchial rupture by the characteristic imaging findings and fiberoptic bronchoscopy.It is very important to rescue patients and obtain a good prognosis by early diagnosis and operation as soon as possible.

关 键 词：创伤 支气管断裂 诊断 手术 

分 类 号：R653.1[医药卫生—外科学] R655.3[医药卫生—临床医学]