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頁籤選單縮合
題名 | Blunt Trauma Causing Membranous Tracheal Laceration--A Case Report=鈍挫傷引致氣管膜狀壁裂傷--一病例報告 |
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作者 | 郭華基; Kok, Va-kei; |
期刊 | 中華民國急診醫學會醫誌 |
出版日期 | 20010900 |
卷期 | 3:3 2001.09[民90.09] |
頁次 | 頁36-42 |
分類號 | 416.14 |
語文 | eng |
關鍵詞 | 氣管膜狀壁破裂; 鈍挫傷; 經頸經氣管修補; Membranous tracheal laceration; Blunt trauma; Transcervical transtracheal repair; |
中文摘要 | 本文報告一24歲男機車騎士,因車禍致前額裂傷及頸部擦傷,雖胸部X光片發現氣管右側處有空氣,但沒有症狀,住院一小時後有喘和乾咳,隨後在頸及臉部出現皮下氣腫,支氣管鏡檢查發氣管有血痰,在氣管內插管後發現持績性的氣漏氣,經氣管造口術,發弄距氣管歧約四公分處氣管膜狀壁有2.5公分之縱向裂傷,並輕易以經頸經氣管修補。 |
英文摘要 | We present a 24-year-old male patient who sustained a head injury with multiple facial abrasions during a motorcycle accident. His initials chest x-ray film showed free air in the right paratrachea. The patient complained of shortness of breathing and hacking cough 1 h our after admission. After that, progressive subcutaneous emphysema developed in his neck and face. Bronchoscopic examination revealed some bloody sputum in the trachea and a persistent air leak was found after the endotracheal tube intubation. An airway injury was suggested so neck exploration was arranged. A 2.5cm longitudinal laceration of the membranous trachea was found rising 4 cm from the carina. Primary repair of the tear was carried out easily through transecervical-transtracheal approach. In this case, we emphasize the radiological presentation and simple method for repairing this potentially life-threatening injury. |
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