CAJ | 학술논문

目的：探讨创伤性支气管损伤的诊治特点，提高诊断率、提高治疗效果及患者生存质量。方法回顾性分析2000年1月至2014年6月11例创伤性支气管损伤病人的临床资料。结果8例患者得到了早期诊断,3例患者诊断延误。3例行保守治疗，1例行支气管修补术，5例行叶支气管端端吻合术，1例行左侧肺上叶袖式切除术，术中死亡1例。保守治疗者顺利康复，完成手术治疗者术后行纤维支气管镜检查示吻合口通畅，未发生支气管胸膜瘘。结论创伤性支气管断裂易误诊，根据支气管断裂的特征性影像学表现及支气管镜检查可提高支气管断裂的诊断率，早期诊断及尽早恰当的治疗对挽救患者并获得良好的预后具有十分重要意义。
목적：탐토창상성지기관손상적진치특점，제고진단솔、제고치료효과급환자생존질량。방법회고성분석2000년1월지2014년6월11례창상성지기관손상병인적림상자료。결과8례환자득도료조기진단,3례환자진단연오。3례행보수치료，1례행지기관수보술，5례행협지기관단단문합술，1례행좌측폐상협수식절제술，술중사망1례。보수치료자순리강복，완성수술치료자술후행섬유지기관경검사시문합구통창，미발생지기관흉막루。결론창상성지기관단렬역오진，근거지기관단렬적특정성영상학표현급지기관경검사가제고지기관단렬적진단솔，조기진단급진조흡당적치료대만구환자병획득량호적예후구유십분중요의의。
Objective to investigate the diagnosis and treatment of traumatic bronchial injury. to improve the rate of diagnosis, and to improve the effects of treatment. Methods clinical data of 11patients with traumatic bronchial injury treated in our hospital from January 2000 to June 2014 were analyzed retrospectively. Results 8 patients received immediately diagnosis by presented with dyspnea. three of these patients were asymptomatic and had no early diagnosis. 3 patients received conservative management,1 patient was given bronchial repair, 5 patients were operated by means of end to end bronchial anastomosis, 1 case received the left upper lobe sleeve resection,1patient died of serious bronchial and pulmonary arterial injury during operation. Patients who received conservative management were cured and patients who were given operation were detected by fiberbronchoscope which showed anastomotic patency with no bronchopleural fistula.Conclusion traumatic bronchial injury caused more misdiagnoses,but we can improve the diagnosis rate of bronchial injury by the characteristic imaging findings and fiberoptic bronehoseopy.it is very important to rescue patients and obtain a good prognosjs for patients by early diagnosis and proper treatment as soon as possible.