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Acute Tracheobronchial Injury

 

作者: ARTHUR FLYNN,   ARTHUR THOMAS,   WILLIAM SCHECTER,  

 

期刊: The Journal of Trauma: Injury, Infection, and Critical Care  (OVID Available online 1989)
卷期: Volume 29, issue 10  

页码: 1326-1330

 

ISSN:0022-5282

 

年代: 1989

 

出版商: OVID

 

数据来源: OVID

 

摘要:

We reviewed our experience with tracheal and bronchial trauma from 1977 to 1988. There were 22 patients with tracheobronchial injuries treated in this period. Seventeen (77%) of the injuries were due to penetrating trauma and five (23%) were due to blunt trauma. Thirteen patients had major associated injuries, including six esophageal injuries. The most common physical findings were tachypnea (13 patients) and subcutaneous emphysema (nine patients). Eight patients presented with airway obstruction. All patients with penetrating cervical tracheal injuries underwent neck exploration and primary repair. All blunt injuries were diagnosed by bronchoscopy. Three patients with blunt injuries were treated with primary repair. Two patients with blunt chest trauma and small bronchial tears were treated nonoperatively with good results. All three deaths (14% mortality rate) were due to associated injuries. We conclude that patients with penetrating tracheobronchial injuries should be managed by surgical exploration and primary repair, although selected patients with blunt injury may be treated nonoperatively.

 

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