摘要
目的；报告创伤性支气管断裂20例病人的诊断和治疗，总结创伤性支气管断裂的早期诊断依据，分析延误诊断的原因，评价手术治疗效果。方法：本组20例手术治疗18例。伤后一周内手术14例，其中10例行支气管断端吻合术，4例修补成形术。全肺切除及肺叶切除各2例。结果：早期手术的14例病人，术后均痊愈；延迟手术的4例中2例肺功能明显减退，1例吻合口感染并发脓气胸；2例伤后术前突然死于并发症。结论：只有早期正确诊断才能及时手术治疗，早期手术，并发症少，治愈率高，肺功能恢复满意。伤后一周内为最佳手术时机。
The aim of this paper is to report the diagnosis and the treatment of 20 cases of traumatic bronchusrupture to sum up the evidences of early diagnosis, to analyze causes of misdiagnosis, and to assess surgical curativeeffects. Methods: 18 cases received operative treatment and of them, 14 operations were performed within 1 weekafter injury. End-to-end anastomosis was per formed in 10 cases, brochorrhaphy and bronchoplasty in 4 cases, andpneumonectomy and pulmonary lobectomy in the other 4 cases. Results: In 14 cases in which operative treatmentwas per formed early during admission, post-operative course was smooth and all recovered- In delayed operationgroup, 4 cases. 2 showed decreased pulmonary functions and 1 was complicated by pneumopyemia and infection atanastorrdsis site. 2 cases died of complications be fore surgical intervention. conclusion: Early diagnosis is the keyto prompt surgical treatment only which could provide with a high cure rate and excellent lung functions. The opti-mum time for operation is within 1 weak after injury-
出处
《急诊医学》
CSCD
1997年第3期150-152,共3页
