创伤性主支气管断裂的诊断和外科治疗  

Diagnosis and treatment of main bronchial rupture in injuried patients with chest trauma

作　　者：赵永祥[1] 胡冬煦[2] 胡景云[3] 刘斌[1] 杨进福[2] 张权[1] 朱越 

机构地区：[1]中南大学湘雅三医院胸心外科 [2]中南大学湘雅二医院胸心外科 [3]湖南省益阳市中心医院心内科 [4]Department of Surgery,University of Pittsburgh Mecdiacl Center,Pennsy lvania,PA15213,USA

出　　处：《中国医学工程》2004年第3期59-61,共3页China Medical Engineering

基　　金：国家211工程部省共建重点学科重大项目基金No[1998]6号

摘　　要：目的总结外伤性主支气管断裂的诊断和外科治疗效果。方法X片和CT以及支气管镜是诊断支气管断裂的主要方法。结果11例均行支气管断端吻合,术后肺膨胀良好,肺功能基本恢复。结论主支气管断裂的病人诊断一旦成立,尽可能外科治疗,且疗效满意。Objective: To summarize the diagnosis and surgical treatment for traumatic main bronchial rupture. Methods: Chest X-rays, CT and fiberoptic bronchoscopy are the main means to confirm the diagnosis. Results: Bronchial end-to-end anastomosis were performed on 11 patients whose lung were well ventilated and lung function were recovered. Conclusion: Main bronchial rupture occurs relatively rarely. Early diagnosis and operative intervention save lives.

关 键 词：支气管断裂 X线检查 CT诊断 支气管镜检 支气管断端吻合术 临床表现 手术时机 

分 类 号：R655.3[医药卫生—外科学]