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Blunt Chest Trauma with Left Main Bronchus Disruption

胸部鈍傷合併左側主支氣管斷裂-病例報告

摘要


一例20歲女性患者,在車禍中胸部鈍傷造成左側主支氣管在離氣管脊2公分處斷裂,但患者在早期並無明顯呼吸症狀直到7天後才因斷裂處肉芽組織逐漸形成導致左側全肺萎縮,經手術重新將主支氣管斷裂處修整縫合後左側肺葉再度擴張,4年後追蹤肺功能完全正常。

並列摘要


Blunt chest contusion with rupture of bronchus is not common. Not all the patients will develop severe respiratory symptoms immediately after trauma until grannulation tissue appears in the later time. We had experienced one blunt chest contusion patient with left side main bronchus rupture without early respiratory symptom. The left side lung became collapse 7 days after trauma as the gannulation tissues appeared in the ruptured area gradually. After both ends of the ruptured bronchus were debrided and reanastomosed, the lung reexpanded again. Follow up for four years, she enjoyed her life as a normal person.

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