Blunt chest trauma with tracheobronchial rupture
| Autor: | Leander A. Guite, Richard J.H. Smith, Loring W. Pratt, Joan F. Tryzelaar |
|---|---|
| Rok vydání: | 1984 |
| Předmět: |
Adult
Male medicine.medical_specialty Thoracic Injuries medicine.medical_treatment Thoracentesis Bronchi Wounds Nonpenetrating 03 medical and health sciences Primary repair 0302 clinical medicine Tracheotomy Blunt medicine Humans Thoracotomy 030223 otorhinolaryngology Mediastinal Emphysema Fixation (histology) Rupture Bronchus business.industry Mediastinum General Medicine respiratory system Middle Aged Surgery Radiography Trachea medicine.anatomical_structure Otorhinolaryngology 030220 oncology & carcinogenesis business |
| Zdroj: | The Annals of otology, rhinology, and laryngology. 93(4 Pt 1) |
| ISSN: | 0003-4894 |
| Popis: | The unusual complex of physiological problems associated with rupture of the tracheobronchial tree complicating blunt chest trauma is discussed. The mechanics of injury leading to rupture are abrupt compression of the chest with consequent fixation of the cervical trachea where it enters the mediastinum, separation of the lungs, and fracture of the bronchus over the vertebral bodies. Treatment by aspiration thoracentesis, tracheotomy, and thoracotomy with primary repair as well as expectant therapy are discussed. Two cases, one treated expectantly and one treated by thoracotomy, both with complete recovery, are presented. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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