Isolated Intermediate Bronchus Disruption Following Blunt Thoracic Injury: Report of a Case

胸部鈍傷造成單純間支氣管斷裂－病例報告

顏亦廷(Yi-Ting Yen) ； 吳明和(Ming-Ho Wu) ； 賴吾為(Wu-Wei Lai) ； 林木源(Mu-Yuan Lin) ； 張家銘(Chia-Ming Chang) ； 曾堯麟(Yau-Lin Tseng)

《胸腔醫學》 23卷4期 (2008/08) Pp. 278-283

https://doi.org/10.29806/TM.200808.0007

摘要

胸部鈍傷後之氣管枝傷害並不多見，而單純的間支氣管斷裂更屬少見。此病例為一位24歲女性，於胸部鈍傷後以喘氣，皮下氣腫，氣胸與氣縱膈腔為其臨床表現，且經兩側胸管引流後症狀改善。九個月後此位患者再度以喘氣求診，氣管鏡檢查證實間支氣管完全阻塞。我們嘗試袖狀切除間支氣管阻塞處，並以端對端吻合成功重建氣管枝並保留肺部功能。

關鍵字

間支氣管斷裂 ； 外傷性支氣管傷害

並列摘要

Tracheobronchial injury following blunt thoracic trauma is uncommon, and an isolated intermediate bronchus disruption is even rarer. Herein, we reported a 24-year-old woman who sustained blunt thoracic injury and presented with dyspnea, subcutaneous emphysema, pneumothorax, and pneumomediastinum. The symptoms were relieved after bilateral tube thoracostomy. Nine months after the event, she complained of dyspnea and presented at a local hospital, where total obstruction of her intermediate bronchus was confirmed by bronchoscopy; she was then referred to our hospital for surgical management. She underwent sleeve resection of the intermediate bronchus and had an uneventful recovery. A high index of suspicion with the liberal use of bronchoscopy is necessary for the timely diagnosis and effective treatment of this rare entity.

並列關鍵字

intermediate bronchial disruption