创伤性支气管断裂的诊断及治疗体会  

Diagnosis and treatment for traumatic bronchial rupture

作　　者：林振海[1] 刘培云[1] 李军华[1] 葛广全[1] 张志东[1] 

机构地区：[1]海南省农垦那大医院胸外科,海南儋州571700

出　　处：《海南医学院学报》2007年第6期551-552,共2页Journal of Hainan Medical University

摘　　要：目的：探讨外伤性支气管断裂的早期诊断与外科治疗。方法：对1996年6月-2006年3月诊治的创伤性支气管断裂患者8例的临床表现及外科治疗情况进行回顾性分析。结果：交通事故伤7例,刀刺伤1例。伤及左右支气管分别为5例和3例。完全性断裂6例,不完全性断裂2例。7例行支气管修补术,1例行胸腔闭式引流和保守治疗。1例肺膨胀不良,7例痊愈出院。结论：诊断一经确定,应尽快行支气管吻合术。Objective： To discuss earlier diagnosis and surgery management of traumatic bronchial rupture. Methods： Eight patients with traumatic bronchial rupture from Jun. 1996 to Mar. 2006 were analyzed retrospectively on clinical manifestation and surgical management. Results： Seven cases were due to traffic accident, one was knife puncture wound. Five cases were on right bronchus, three were left bronchus injury, and six cases were complete break, two were partial break. Seven cases were taken neoplasty, one was under thoracic close drainage and expectant treatment. One occurred lung dys-dilatation, seven cases cured and discharged. Conclusion： Typical clinical manifestation occurred after injury, uncontrolled pneumothorax even through sufficient closed drainage show diagnostic evidence. Some patients can be diagnosed by CT scan and bronchoflbroscopy. Once diagnosis is established, anastomosis of bronchus should be done early.

关 键 词：支气管/损伤 创伤和损伤 诊断 外科手术 

分 类 号：R641[医药卫生—外科学]