Title of article :
Bronchial Rupture Caused by Blunt Chest Injury, ,
Author/Authors :
Mu-Yen Lin، نويسنده , , Ming-Ho Wu، نويسنده , , C.Steve Chan، نويسنده , , Wu-Wei Lai، نويسنده , , Nan-Song Chou، نويسنده , , Yau-Lin Tseng، نويسنده ,
Issue Information :
روزنامه با شماره پیاپی سال 1995
Abstract :
We have surgically treated six patients with bronchial rupture caused by blunt chest injury in the past 5 years. All injuries resulted from traffic accidents, except in one patient who was hit by a crane. Clinical manifestations included chest pain (n=6), subcutaneous emphysema (n=4), and dyspnea (n=6). Roentgenographic findings were tension (n=3) or nontension (n=3) pneumothorax, subcutaneous emphysema (n=4), pneumomediastinum (n=3), deep cervical emphysema (n=5), and delayed collapse of the affected lung (n=3). Three patients had associated injuries: right clavicle and rib fractures in the first; right humeral, scapular, and multiple rib fractures and left sternoclavicular joint dislocation in the second; and left clavicle fracture in the third. These six patients all underwent immediate tube thoracostomy and then bronchoplasty. Bronchoplasty was performed within 3 days in four patients and on days 16 and 30, respectively, in the other two patients. The affected lung demonstrated full expansion in all patients immediately after bronchoplasty. Follow-up bronchoscopy showed good patency of all bronchi.
Journal title :
Annals of Emergency Medicine
Journal title :
Annals of Emergency Medicine