南非罕见的气管钝性胸腔内创伤及其处理:病例报告

R. Pswarayi, Anna Katariina Kerola
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引用次数: 0

摘要

即使在钝性胸部创伤患者中,钝性胸腔内气管损伤也很少见。基于高度怀疑指数的早期诊断可及时对可能致命的气道创伤进行手术治疗,从而改善总体预后。由于这些损伤的临床特征不具特异性,而且有时难以进行放射学诊断,因此诊断这些损伤非常困难。如果患者在高能量钝性创伤后尽管插入并处理了肋间引流管,但仍表现出呼吸困难和肺扩张不良的呼吸衰竭症状,则应高度怀疑可能存在气道创伤。初级修复的目的是恢复气道的完整性,尽量减少肺实质功能的丧失。本病例报告讨论了一名胸内气道钝性创伤患者的罕见临床表现、手术治疗及其总体预后。尽管气管钝性外伤极为罕见,而且往往是致命的,但早期手术干预有可能降低死亡风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A rare and unique experience of a blunt intrathoracic traumatic injury of the trachea and its management in South Africa: a case report
Blunt intrathoracic tracheal injuries are rare, even among blunt chest trauma patients. An early diagnosis based on a high index of suspicion allows for timely surgical management of potentially fatal airway trauma, thereby improving overall outcomes. Diagnosing these injuries can be difficult due to their nonspecific clinical features and the occasional difficulty in radiologic diagnosis. If a patient exhibits respiratory compromise with difficult ventilation and poor lung expansion, despite the insertion and management of an intercostal drain following high-energy blunt trauma, there should be a heightened suspicion of potential airway trauma. The aim of primary repair is to restore airway integrity and to minimize the loss of pulmonary parenchyma function. This case report discusses the rare clinical presentation of a patient with blunt trauma to the intrathoracic airway, the surgical management thereof, and his overall outcome. Although blunt traumatic injuries of the trachea are extremely rare and often fatal, early surgical intervention can potentially reduce the risk of mortality.
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