气管、支气管损伤11例诊断及治疗

目的:探讨外伤性气管、支气管断裂的诊治方法和效果。方法:对11例外伤性气管、支气管断裂患者的临床资料进行回顾性分析。8例支气管断裂中,6例经纤维支气管镜检查明确诊断;7例行支气管端端吻合术,1例行肺叶切除术。3例气管损伤中,2例行纤维支气管镜检查确诊;1例气管完全断裂行气管端端吻合术,2例气管裂伤小于其周径1/3,行保守治疗。结果:11例均治愈。结论:纤维支气管镜检查是气管、支气管损伤确诊最重要的手段;支气管成形术是主要手术方式;对小于气管周径1/3的裂伤可试行保守治疗。

Diagnosis and treatment of traumatic tracheal and bronchial rupture:a report of 11 cases

Objective：To investigate the diagnosis and treatment of traumatic tracheal and bronchial rupture.Methods：The clinical data of 11 patients suffering from traumatic rupture of tracheal and bronchial were retrospectively analyzed.Among the 8 cases of bronchial rupture,6 were diagnosed by fibrobronchoscopy.Seven cases received end-to-end anastomosis and 1 was performed lobectomy.Of the 3 cases of tracheal rupture,2 cases whose crack′s length was less than a third of the circumference of trachea were diagnosed by fibrobronchoscopy and received conservative treatment,and the rest one was performed end-to-end anastomosis.Results：All the 11 cases were cured.Conclusions：The bronchoscopy is the most important procedure for final diagnosis;and bronchoplasty is the capital modus operandi.Conservative treatment can be applied to the patients whose crack′s length is less than a third of the circumference of trachea.