摘要
目的 探讨儿童钝性胸部创伤后主支气管断裂的临床特点和早期诊治。方法 本组 11例 ,年龄 3~ 7岁 ,平均 (5 1± 1 4 )岁。患者均为闭合性损伤后主支气管完全性断裂 ,左侧 7例 ,右侧 4例。 4例伤后 2 4h内急诊行支气管断裂吻合术 ;7例延误诊断患儿于伤后 2~ 12个月内晚期手术 ,其中 3例行支气管断裂吻合术 ,4例行全肺切除术。结果 本组无手术死亡 ,7例行支气管断裂吻合术 ,恢复顺利 ,术后1个月胸片复查 ,肺组织复张良好。结论 认识儿童钝性胸部创伤后气管支气管断裂的临床特点 ,可提高早期诊断水平 ,明显降低其并发症和病死率。
Objective To evaluate the clinical features of rupture of main bronchus after blunt chest trauma in children and the importance of early diagnosis and surgical treatment.Methods 11 consecutive patients from ages 3 to 7 years(5.1±1.4),with the main bronchial disruptions due to blunt chest trauma were reported(four right,seven left).8 boys and 3 girls were included.4 patients underwent immediate surgical correction (end-to-end anastomosis)within 24 hours after the accident.7 patients had a delayed diagnosis for 2-12 months after injury.Among these 7 patients,end ̄to ̄end anastomosis was used in 3 cases,four patients required total pneumonectomy.Results There were no deaths in this series.7 patients who received end-to-end anastomosis experienced an uneventful recovery.Conclusion Recognition of the clinical features of main bronchial rupture of main bronchus after blunt chest trauma in children,early diagnosis and bronchial repair could significantly decrease the incidence of complication and mortality.
出处
《中华急诊医学杂志》
CAS
CSCD
2004年第1期52-53,共2页
Chinese Journal of Emergency Medicine