外伤性支气管断裂六例病例报告  

Bronchial Distruption Due to Blunt Chest Trauma——A Report of 6 Cases

作　　者：任华[1] 李泽坚[1] 张志庸[1] 孙成孚[1] 徐乐天[1] 

机构地区：[1]中国医学科学院协和医院

出　　处：《中国医学科学院学报》1993年第3期221-224,共4页Acta Academiae Medicinae Sinicae

摘　　要：支气管断裂是由于钝性胸部创伤所致的较严重合并症之一,支气管断裂的临床诊断及影象学特征虽已明确,但仍有大约25％～68％的患者被延误诊断,甚至造成严重后果。本文报告6例支气管断裂患者的临床表现、诊断及治疗,并结合文献复习,归纳几点临床经验以供借鉴。 临床资料 1974年～1991年10月,本院胸外科共收治气管支气管断裂患者6例,其中男性5例,女性1例;年龄16～40岁,平均25岁。外伤原因:车辆撞伤(2例),压砸伤(3例),高处跌下(1例)。临床上出现呼吸困难5例;皮下气肿4例;张力性气胸3例;血胸3例;合并肋骨骨折2例,锁骨骨折1例;Six cases with bronchial disruption due to blunt chest trauma are reported. Clinical symptoms were dyspnea in 5 patients, hemopneumothorax in 3 cases, and hemoptysis and subcutanous emphysema in 4 cases each. Pneumo-thorax was not found on immediate radiological examination in 3 patients. Bronchial disruption was defined by exploratory thoracotomy in one case three days after trauma. In the remaining 5 cases, the diagnosis was demonstrated by lipiodol bronchography and fibrobronchoscopy 70 days to 6 years later. End-to-end anastomosis of the bronchus was performed in 5 patients, whereas right middle and lower lobectomy was done in one case. Five patients with bronchial repair suffered transient atelectasis of the lung, which reexpanded in 4 to 10 days.

关 键 词：外伤性 支气管断裂 诊断 

分 类 号：R655[医药卫生—外科学]