外伤性气管、支气管断裂的诊断和治疗体会(附6例报告)  

Diagnosis and treatment of trumatic ruptures of trachea and bronchus(with 6 cases reports)

作　　者：王晓东[1] 李春茂[1] 关吉尧[1] 黄乃祥[1] 郎贤平 

机构地区：[1]锦州医学院附属医院胸外科

出　　处：《综合临床医学》1991年第3期144-145,共2页

摘　　要：本文报告气管支气管断裂6例,其中3例气管断裂;3例左主支气管断裂。作者认为,胸外伤病人伤后早期咯血,颈部及胸部皮下气肿应考虑到有气管支气管断裂,应早期施行纤支镜检查确定诊断。在治疗上强调早期修复,对病人尽量不作气管切开术。手术采用双腔插管麻醉,病人体位取仰卧位或斜坡卧位,以防胸腔内积液流入对侧健肺。术后加强护理,给祛痰药和雾化疗法。The paper reported 6 cases withruptures of trachea and bronchus,3of them were tracheal rupture andthe other 3 were ruptures of the leftmain bronchus.The author advocatedthat tracheal rupture should be considered in the patients with earlyhemoptysis and subcutaneous emphysema of neck and chest after thoracictrauma.Fibrobronchoscopv shouldbe performed as soon as possible toascertain the diagnosis.In treatment,we emphasize to repair thetrachea in early stage,but try notto perform tracheotomy.During theoperation,the anesthesia was donewith a Endobronchil twin tube(Carlen(?)s Tube)using a supine or slopesupine position to prevent thoraciceffusion from flowing into the opposite healthy lung.Metivulous nursi-ng,expectorant and aerosol aspiration should be given to the patientspostoperatively.

关 键 词：气管 支气管 断裂 诊断 手术 

分 类 号：R655.305[医药卫生—外科学]