外伤性支气管断裂的诊断与治疗  

Diagnosis and therapy of traumatic tracheobronchial ruptures.

作　　者：刘进平[1] 张文山[1] 张奕[1] 陈定柱[1] 林益民[1] 戴益智[1] 黄镇[1] 

机构地区：[1]福建医科大学附属漳州市医院胸心外科,363000

出　　处：《中国保健营养（临床医学学刊）》2010年第2期33-35,共3页China Health Care Nutrtion

摘　　要：目的探讨外伤性支气管断裂的诊断及治疗方法。方法回顾分析我院4例外伤性支气管断裂患者的临床资料。结果全组Ⅰ型支气管断裂2例，1例患者痊愈，术后复查气管镜气道无狭窄，肺功能恢复，1例死于失血性休克，无手术机会。Ⅱ型支气管断裂2例，保守治疗后痊愈。结论对主支气管裂口〈1．0cm者，保守治疗可取得满意疗效。对重症主支气管断裂，一旦诊断成立，如有手术机会，应尽旱手术重建气道，且疗效满意。Objective To evaluate the diagnosis and therapy of traumatic tracheobronchial ruptures. Methods： The clinical data of 4 cases of patient with traumatic tracheobronchial ruptures analyzed retrospectively. Results： The type I oftracheobronchial ruptures 2 patients, one patient is recoverd which ronchofibroscopy checked after operation, the the air flow is not narrow, the pulmonary function is restored , the other patient died of hemorrhage nature shock which of no operation chance. The type II of tracheobronchial ruptures2 patients are conservative recovery. Conclusion： Break diameter open to the main bronches being smaller than 1.0cm conservative treatment can get satisfactory effect; But to severely injured, once diagnosed, if have operation chance, rebuild the bronchi as soon as possible and the clininc Effect is satisfactory

关 键 词：外伤 支气管断裂 治疗 

分 类 号：R768.1[医药卫生—耳鼻咽喉科]