创伤性主支气管断裂的诊治论文.docVIP

　　创伤性主支气管断裂的诊治论文 .freelent for traumatic main bronchial rupture.Methods Chest Xrays，CT and fiberoptic bronchoscopy ain means to confirm the diagnosis.Bronchial endtoend anastomosis ed in 10 patients and pneumonectomy on one case because of infection.Results All the lungs ent Acute injuries of bronchial system are rare and lifethreatening situations， blunt/perating chest and has different clinical pictures［3～6］，occurrences of these injuries are only about 0.8% of all chest injuries. Since 1994，ent for these cases are reported here. 1 Clinical information 1.1 General information The information 1994 to 2003 at our hospitals. The group consisted of 11 patients (male：7 cases，female： 4 cases) ergency department (see Fig.1，2). All injuries involved the main stem bronchi. The right main bronchial rupture consisted of 4 cases，ain bronchial 7 cases. The shortest time of trauma e ost mon presenting signs of airothorax，mediastinum and subcutaneous emphysema in 8 cases，hemoptysis in 5 cases. In 7 patients the atelectasis onths after trauma. Radiology： chest Xray shoain bronchus might result in the classic signs of atelectasis，“absent hilum” or a collapsing of the lung a the hilus to，knope. CT shoay directly reveal bronchial rupture or stenosis. Fiberoptic brochoscopy： the bronchial cutoff in 4 patients a and the distance betent Bronchial rupture osis in 10 patients of this group (see Table 1).After operation，the lobes ed due to pulmonary infection. All the patients proved obviously. Table 1 Patients’lesion sites and surgical treatment 2 Discussion 2.1 Diagnosis The clinical findings for most patients atic main bronchial rupture are plicated because their clinical symptoms can be lessened through closed drainage so that is for us to timely make an earlier diagnosis for them. Because of this，the onethird of patients can be saved by timely making diagnosis and correct treatment. The diagnosis for the bronchial rupture is based upon clinical，radiological，a