气管支气管断裂的外科治疗  

SURGICAL TREATMENT OF BRONCHIAL RUPTURE

作　　者：康世荣[1] 高旭东[1] 特木热[1] 郭占林[1] 梁俊国[1] 

机构地区：[1]内蒙古医科大学附属医院胸心外科,内蒙古呼和浩特010050

出　　处：《内蒙古医科大学学报》2014年第2期90-92,96,共4页Journal of Inner Mongolia Medical University

摘　　要：目的：探讨气管支气管断裂的外科诊治要点，为外科治疗气管支气管断裂提供理论及临床依据。方法：回顾性研究我院自2001-12--2012-12收治的气管支气管断裂29例病人，分析其临床特点，并对病因、手术经过及主要问题进行分析，并比较手术前后心率、血压、及血氧饱和度情况。结果：（1）总体结果分析：死亡1例，死于多器官功能衰竭，其余病人经手术治疗后痊愈，并随访半年，发现气道狭窄2例，实施手术治疗1例，另一例保守治疗；（2）手术前后生命体征及临床症状结果比较：手术前后29例病人心率、血压、血氧饱和度、呼吸困难、血痰均有明显改善，且有统计学差异（P〈0.05）。结论：气管支气管断裂早诊断、尽早手术是避免肺切除，避免术后再狭窄的关键。Objective：To explore the diagnosis and surgical treatment of tracheobronchial rupture, and provide theoretical and clinical basis for surgical treatment of tracheobronchial rupture. Methods：A retrospective study from 2001 December tracheobronchial-2012 December in our hospital 29 cases of fracture patients, analyze the clinical characteristics, and the etiology, operation process and main problems are analyzed. And compared before and after the operation of heart rate,blood pressure,and blood oxygen saturation. Results：（1） The overall results：1 cases died,died of multiple organ failure, cured by operation treatment after the rest of the patients, and follow-up for half a year, found that airway stenosis in 2 cases,the implementation of operation treatment in 1 cases,the other cases of con-servative treatment;（ 2 ） Before and after the operation of life signs and clinical symptoms result：operation in 29 patients before and after the heart rate,the blood pressure,oxygen saturation,difficulty breathing,phlegm and blood were significantly improved,and there is significant difference（P＆lt;0. 05）. Conclusion：tracheobronchial rupture early diagnosis,early operation is the key to avoid avoid pneumo-nectomy,restenosis.

关 键 词：气管支气管断裂 外科诊治 临床特点 气道狭窄 

分 类 号：R655[医药卫生—外科学]