Long tracheobronchial and esophageal rupture after blunt chest trauma: Injury by airway bursting

被引：22

作者：

deNicolas, JLM ^{[1
]}

Gamez, AP ^{[1
]}

Cruz, F ^{[1
]}

DiazHellin, V ^{[1
]}

Marron, C ^{[1
]}

Martinez, JI ^{[1
]}

Galvez, R ^{[1
]}

Toledo, J ^{[1
]}

机构：

[1] DOCE OCTUBRE HOSP,DEPT GEN SURG,E-28041 MADRID,SPAIN

来源：

ANNALS OF THORACIC SURGERY | 1996年 / 62卷 / 01期

关键词：

D O I：

10.1016/0003-4975(96)00299-8

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Tracheobronchial rupture can be associated with blunt thoracic trauma. An important factor in the physiopathology of these lesions is reflex closure of the glottis, which can be related to closed chest trauma. We report a case of nonpenetrating thoracic trauma that caused a long membranous tracheal rupture from the subcricoid area to the main carina, extending to both main bronchi. In addition, a complex esophageal rupture occurred due to the great energy liberated by the airway rupture acting as a real tracheal burst. Both lesions were diagnosed by flexible bronchoscopy. The postoperative period was without serious complications.

引用

页码：269 / 272

页数：4

共 15 条

[1] TRACHEAL AND MAIN BRONCHIAL DISRUPTIONS AFTER BLUNT CHEST TRAUMA - PRESENTATION AND MANAGEMENT [J].

BAUMGARTNER, F ;

SHEPPARD, B ;

DEVIRGILIO, C ;

ESRIG, B ;

HARRIER, D ;

NELSON, RJ ;

ROBERTSON, JM .

ANNALS OF THORACIC SURGERY, 1990, 50 (04) :569-574

[2]

GRILLO HC, 1986, J THORAC CARDIOV SUR, V91, P322

[3]

JONES WS, 1984, SURGERY, V95, P319

[4] MANAGEMENT OF AIRWAY TRAUMA-II - COMBINED INJURIES OF THE TRACHEA AND ESOPHAGUS [J].

KELLY, JP ;

WEBB, WR ;

MOULDER, PV ;

MOUSTOUAKAS, NM ;

LIRTZMAN, M .

ANNALS OF THORACIC SURGERY, 1987, 43 (02) :160-163

[5] MANAGEMENT OF TRACHEOBRONCHIAL DISRUPTION SECONDARY TO NONPENETRATING TRAUMA [J].

KIRSH, MM ;

ORRINGER, MB ;

BEHRENDT, DM ;

SLOAN, H .

ANNALS OF THORACIC SURGERY, 1976, 22 (01) :93-101

[6] COMPLETE TRANSECTION OF THE INTRATHORACIC TRACHEA DUE TO BLUNT TRAUMA [J].

LAZAR, HL ;

THOMASHOW, B ;

KING, TC .

ANNALS OF THORACIC SURGERY, 1984, 37 (06) :505-507

[7] CARINAL INJURY - DIAGNOSIS AND TREATMENT - CASE-REPORT [J].

MILLHAM, FH ;

RAJIIKHORASANI, A ;

BIRKETT, DF ;

HIRSCH, EF .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1991, 31 (10) :1420-1422

[8] TRAUMATIC RUPTURE OF THE BRONCHUS - A CLINICAL AND EXPERIMENTAL STUDY [J].

PETERS, RM ;

LORING, WE ;

SPRUNT, WH .

ANNALS OF SURGERY, 1958, 148 (06) :871-884

[9] MANAGEMENT OF MAJOR TRACHEO-BRONCHIAL RUPTURES IN PATIENTS WITH MULTIPLE SYSTEM TRAUMA [J].

RAMZY, AI ;

RODRIGUEZ, A ;

TURNEY, SZ .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1988, 28 (09) :1353-1357

[10] RUPTURE OF THE TRACHEOBRONCHIAL TREE [J].

ROXBURGH, JC .

THORAX, 1987, 42 (09) :681-688

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