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題 名 | Post-Traumatic Left Main Bronchus Stenosis: Case Report=創傷後左主支氣管狹窄--病例報告 |
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作 者 | 張凱惟; 顏亦廷; 曾堯麟; 賴吾為; | 書刊名 | 胸腔醫學 |
卷 期 | 30:4 2015.08[民104.08] |
頁 次 | 頁239-246 |
分類號 | 416.215 |
關鍵詞 | 氣管支氣管損傷; 胸管置入術; 脾臟穿刺傷; Tracheobronchial injury; Tube thoracostomy; Splenic penetration; |
語 文 | 英文(English) |
中文摘要 | 胸部鈍傷後引起的氣管支氣管損傷是一種罕見但潛在的致命傷害。診斷和治療時常被延遲,而導致在受傷後幾個月或甚至幾年後才進行修復手術。我們描述一個創傷後左主支氣管狹窄的病例。然而在確定診斷之前,患者因左肺整片變白而接受胸管置入術,進而導致脾臟穿刺傷。藉此再次強調「安全三角區域」和超音波導引在胸腔引流中的重要性。而此病人在創傷晚期以支氣管狹窄呈現,則成功地藉由左主支氣管袖狀切除及重建來處理。 |
英文摘要 | Tracheobronchial injury following blunt chest trauma is a rare but potentially lethal injury. Often the diagnosis and treatment are delayed, resulting in attempted surgical repair months or even years after the injury. We described the case of a patient with post-traumatic left main bronchus stenosis. Before the diagnosis, the patient, with left lung white-out, was subjected to a tube thoracostomy, resulting in splenic penetration. Thus, the importance of a “safe triangle” and ultrasound guidance are emphasized for chest drainage. The late injury presenting as a stenosis was successfully managed by sleeve resection and reconstruction of the left main bronchus. |
本系統中英文摘要資訊取自各篇刊載內容。