气管支气管损伤的诊疗体会

Surgical treatment of trauma of the trachea and bronchi

目的探讨严重胸部损伤中气管、支气管损伤的及时诊断和治疗方法。方法分析23例气管支气管损伤的临床特点、损伤部位、及时诊断和治疗的方法。结果严重胸部损伤病人通常伴有气管支气管损伤。如延误诊断和治疗,易发生支气管狭窄、肺组织实变,严重影响病人的肺脏功能。结论严重的胸部和颈部损伤病人应常规行纤维支气管镜检查,明确诊断和损伤部位,及早手术治疗。

Objective To explore the diagnosis and treatment of traumatic injuries of the trachea and bronchi. Methods The clinical features, location of the injuries, diagnosis and treatment were analyzed in 23 cases. Results Injuries of the trachea and bronchi were of high frequency in severe chest and neck trauma. The patients with narrowed bronchi or lung consolidation were difficult to recover if it was delayed from early diagnosis and treatment. Conclusion Bronchoscopy is recommended for patients with severe chest and neck trauma for early diagnosis and definite location of airway injury. Surgical treatment should be performed as soon as possible.