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The Use of Extracorporeal Membrane Oxygenation in the Surgical Repair of Bronchial Rupture

机译：体外膜氧合在支气管破裂手术中的应用

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Extracorporeal membrane oxygenation (ECMO) has been used successfully in critically ill patients with traumatic lung injury and offers an additional treatment modality. ECMO is mainly used as a bridge treatment to delayed surgical management; however, only a few case reports have presented the successful application of ECMO as intraoperative support during the surgical repair of traumatic bronchial injury. A 38-year-old man visited our hospital after a blunt chest trauma. His chest imaging showed hemopneumothorax in the left hemithorax and a finding suspicious for left main bronchus rupture. Bronchoscopy was performed and confirmed a tear in the left main bronchus and a congenital tracheal bronchus. We decided to provide venovenous ECMO support during surgery for bronchial repair. We successfully performed main bronchial repair in this traumatic patient with a congenital tracheal bronchus. We suggest that venovenous ECMO offers a good option for the treatment of bronchial rupture when adequate ventilation is not possible.
机译：体外膜氧合（ECMO）已成功用于患有肺外伤的重症患者，并提供了额外的治疗方式。 ECMO主要用作过渡治疗的桥梁治疗;然而，只有少数病例报告显示ECMO作为创伤性支气管损伤的手术修复中的术中支持已成功应用。一名38岁的男子因胸部钝器受伤就去了我们医院。他的胸部影像显示左半胸有血气胸，并发现左主支气管破裂。进行了支气管镜检查，确认左主支气管和先天性气管支气管破裂。我们决定在手术期间为支气管修复提供静脉ECMO支持。我们成功地对这名先天性气管支气管创伤患者进行了主要的支气管修复。我们建议在无法充分通气的情况下，静脉静脉ECMO为治疗支气管破裂提供了很好的选择。

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