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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Tracheobronchial Injury caused by Blunt Trauma: Case Report and Review of Literature
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Tracheobronchial Injury caused by Blunt Trauma: Case Report and Review of Literature

机译：钝性创伤引起的气管支气管损伤：病例报告及文献复习

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摘要

Tracheobronchial injuries are rare cases requiring skillful airway management. We report a challenging case of tracheobronchial injury in a young adult who was run over by a tractor and was referred to us from a peripheral hospital with endotracheal tube in situ. He was severely hypoxaemic on initial presentation. Diagnostic work up showed high suspicion for right bronchial transection along with left lung upper lobe contusion. Due to deteriorating clinical condition of the patient and despite immediate unavailability of fibreoptic bronchoscope, patient was immediately taken up for right posterolateral thoracotomy and double lumen tube was inserted. The position of the tube was confirmed clinically. As soon as the fibreoptic bronchoscope arrived, it was again used to confirm the position of double lumen tube. Patient?s clinical condition improved after repair of the injured right bronchus and he was later extubated the next day.
机译：气管支气管损伤是罕见的情况，需要熟练的气道管理。我们报告了一名年轻成人的气管支气管损伤的挑战性病例，该年轻人被拖拉机碾过，并从一家带气管导管就位的周边医院转介给我们。初诊时他严重缺氧。诊断检查显示高度怀疑右支气管横切以及左肺上叶挫伤。由于患者的临床情况恶化，尽管立即无法使用纤维支气管镜，仍应立即为患者进行右后外侧开胸手术，并插入双腔管。管的位置已在临床上得到确认。纤维支气管镜一到达，便再次用于确认双腔管的位置。修复右支气管受伤后，患者的临床状况有所改善，随后第二天拔管。

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