小儿外伤性主支气管断裂的诊治特点

Diagnosis and Treatment of Children with Main Bronchial Rupture

目的：探讨小儿主支气管断裂的诊治特点，提高患儿生存质量．方法：就８例小儿主支气管断裂的伤情、吻合方法及术后情况进行研究．结果：本组８例年龄６～１２岁．伤因均为交通事故，４例无合并伤．６例对端吻合愈合良好；１例主支气管修补术后狭窄，再手术切除瘢痕行对端吻合后治愈；１例感染致支气扩张和肺脓肿，行全肺切除．结论：应注意小儿主支气管断裂的临床特点，提高诊断水平。

Aim: To seek out some proper diagnostic methods and therapeutic features in treatment of children with main bronchial rupture in order to improve their survival quality. Methods: Severity of rupture, anastomotic methods and the situation after operation were studied on 8 children with main bronchial rupture resulting from traffic accidents. Results: Six cases presented fine healing of endtoend anastomosis, one was left with stenosis after the first operation for repair of the main branchus and recovered after the scar was removed and an endtoend anastomosis conducted, and one was infected which resulted in bronchiectasis and pulmonary abscess and thus total pneumonectomy was conducted. Conclusion: Enough attention should be paid to the clinical features of the main bronchial rupture of children so as to enhance the level of diagnosis and to conduct anastomosis in time for the rupture ends of main bronchus.