Management of tracheobronchial disruption resulting from blunt trauma.

摘要: Delayed diagnosis of tracheobronchial disruption resulting from blunt trauma continues to cause major morbidity and death. At the University Louisville 1968 1982, 13 patients had trauma. All injuries were caused by motor vehicle accidents. Disruptions located in trachea six right bronchus seven patients. Physical findings included: subcutaneous emphysema (11 patients), respiratory distress (10 hemoptysis (six flail chest (four patients). Four (30%) died, three multiple associated other before therapy could be instituted. Among nine survivors, immediate prompt surgical treatment, which consisted suture repair five pneumonectomy patient. Two delay diagnosis, was attempted at 4 30 days, respectively; bronchial stricture resulted one pneumonectomy, empyema, bronchopleural fistula other. Another patient with a mucosal tear treated nonoperatively without complication. Tracheobronchial should always considered massive Repeated bronchoscopy is indicated for unexplained pleural air leaks, lobar atelectasis, or persistent pneumothorax. Prompt expeditious result fewer complications increased survival.