Cervical Trachea Transection after Neck Blunt Trauma: A Case Report

頸部鈍傷導致氣管斷裂：個案報告

廖培宏(Pei-Hung Liao) ； 林明聖(Ming- Sheng Lin) ； 邱永偉(Yung-Wei Chiu) ； 吳肇鑫(Chao-Hsin Wu) ； 童詠偉(Yung Wei Tung)

《童綜合醫學雜誌》 11卷2期 (2017/12) Pp. 118-122

摘要

Tracheal transection is relatively rare but can occur as a result of fatal chest injury and neck blunt trauma. Emergency diagnosis and management is challenging for emergency physicians because of rapid respiratory distress and hypoxemia. Here we describe a 37-year-old male with total tracheal transection due to neck blunt injury resulting from a road traffic accident. An endobronchial tube was inserted because of rapid respiratory distress. Bronchoscopy of the endotracheal tube confirmed a tracheal rupture, and the patient was moved to the operating room for surgical tracheal repair and reconstruction with tracheostomy. Timely and appropriate airway management is essential for a favorable outcome. The present case describes the importance of early airway assessment for patients with occult traumatic tracheobronchial injury.

關鍵字

Blunt trauma ； Tracheal transection

並列摘要

喉部氣管斷裂為罕見的胸頸部鈍傷併發症，由於快速呼吸窘迫會造成立即性腦部缺氧，所以立即診斷及處置對於急診醫護人員是一大挑戰，我們報告一名37歲男性因車禍造成多重器官創傷合併氣管完全斷裂案例，經緊急呼吸建立且支氣管鏡確認診斷後，立即接受氣管修復重建合手術和氣切造口，術後恢復順利。緊急且適當的呼吸道處置對於預後有很大的關係，早期的呼吸道氣管創傷並不容易被查覺，所以早期察覺診斷及呼吸道建立是最重要的。

並列關鍵字

胸頸部鈍傷 ； 氣管斷裂 ； 氣道處置