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气管支气管损伤的急诊手术治疗
引用本文:周楠,谢晓阳,陈科,李季,易军.气管支气管损伤的急诊手术治疗[J].重庆医科大学学报,2004,29(2):245-246.
作者姓名:周楠  谢晓阳  陈科  李季  易军
作者单位:四川省内江市第一人民医院胸心外科,四川,内江,641000;四川省内江市第一人民医院胸心外科,四川,内江,641000;四川省内江市第一人民医院胸心外科,四川,内江,641000;四川省内江市第一人民医院胸心外科,四川,内江,641000;四川省内江市第一人民医院胸心外科,四川,内江,641000
摘    要:目的:探讨气管支气管损伤的急诊外科治疗,评价急诊手术治疗效果.方法:对我院手术的¨例气管支气管损伤患者的临床资料进行分析.结果:8例病人急诊剖胸行气管支气管修补术,术后并发左下肺不张2例,经气管插管吸痰及正压通气治愈,1例发生右膈下脓肿,经剖腹探查引流治愈.全组无死亡,术后无支气管胸膜瘘及狭窄发生.结论:急诊剖胸气管支气管修补术是治疗气管支气管损伤的重要方法,安全、并发症少.

关 键 词:创伤  气管支气管损伤  急诊气管支气管修补术  并发症
文章编号:0253-3626(2004)02-0245-02
修稿时间:2003年6月17日

Emergency operative treatment of tracheobronchial injury
ZHOU Nan,et al.Emergency operative treatment of tracheobronchial injury[J].Journal of Chongqing Medical University,2004,29(2):245-246.
Authors:ZHOU Nan  
Abstract:Objective:To explore the clinical effect of the emergency surgical treatment of tracheobronchial injury.Methods:11 operative patients with tracheobronchial injury were studied and analyzed.Results:8 patients were emergcntly operated with thoracotomy through tracheobronchial repair.2 cases suffered left inferior pulmonary atelectasis after operation and they healed with sucking sputum through tracheal cannula and positive-pressure ventilation.Right subphrenic abscess occurred in 1 case,and the patient healed with exploratory laparotomy and drainage.There were no death and no bronchopleural fistula or bronchostenosis after operation.Conclution:The emergency tracheobronchial prosthesis through thoracotomy is an important treatment for tracheobronchial injury,which is safe and accompanied with less complications.
Keywords:Trauma  Tracheobronchial injury  Emergency tracheobronchial prosthesis  Complications
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