Conservative Medical Management of a Tracheal Perforation after Blunt Trauma in a Patient with SARS-CoV-2

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL
Mateo Zuluaga-Gómez, Daniel González-Arroyave, C. Ardila
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Abstract

This article reports the case of a woman with tracheal perforation due to closed neck trauma and the presence of SARS-CoV-2. The physical examination revealed subcutaneous emphysema in zone II of the neck. The tomography revealed an anterior and proximal tracheal lesion, a 2-mm solution of continuity of the anterior infraglottic airway in the proximal third with subcutaneous emphysema and a decrease in the diameter of the airway at the level of the glottis. The PCR result for SARS-CoV-2 was positive. The medical procedure consisted of orotracheal intubation to guarantee the safety of the airway, in addition to close surveillance in the intensive care unit and constant monitoring of vital signs. In tracheal perforation due to closed neck trauma, it is recommended to evaluate the clinical parameters periodically, including the stability of respiration and subcutaneous emphysema.
1例SARS-CoV-2患者钝性创伤后气管穿孔的保守治疗
本文报告了一例因颈部闭合性创伤和SARS-CoV-2存在而导致气管穿孔的女性病例。体格检查发现颈部II区皮下肺气肿。断层扫描显示气管前端和近端病变,近三分之一的前不完全性气道有2毫米的连续性溶解,伴有皮下肺气肿,声门水平处气道直径减小。PCR结果为SARS-CoV-2阳性。医疗程序包括经口气管插管,以保证气道的安全,此外还包括在重症监护病房密切监测和不断监测生命体征。对于闭合性颈部外伤所致气管穿孔,建议定期评估临床参数,包括呼吸稳定性和皮下肺气肿。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Case Reports in Medicine
Case Reports in Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
1.70
自引率
0.00%
发文量
53
审稿时长
13 weeks
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