- 소아에서 발생한 외상성 기관지 파열의 수술 치험 -2례 보고-
- ㆍ 저자명
- 나국주,김광휴,안병희,김상형,Na. Guk-Ju,Kim. Gwang-Hyu,An. Byeong-Hui,Kim. Sang-Hyeong
- ㆍ 간행물명
- 大韓胸部外科學會誌
- ㆍ 권/호정보
- 1996년|29권 3호|pp.355-359 (5 pages)
- ㆍ 발행정보
- 대한흉부외과학회
- ㆍ 파일정보
- 정기간행물| PDF텍스트
- ㆍ 주제분야
- 기타
Rupture of the main bronchus due to blunt chest trauma is very rare, especially In childhood although the incidence is increasing. Early diagnosis and primary repair not. only restore normal lung function but also avoid the difficulties and complications associated with delayed diagnosis and repair. We experienced 2 cases of right main bronchial rupture caused by traffic accidents. Patients suffered from progressively developing dyspnea and subcutaneous emphysema on the neck, anteriorchest,andanteriorabdominalwall. Emergency operations were performed through right posterolateral thoracotomy incision at the 4th intercostal space. Intraoperatively, the right main bronchus completely transsected and separated. Corrective bronchoplasty was performed with end-to-end anastomosis using interrupted suture with 3-0 Vicryle and the suture line was reinforced with azygos vein and parietal pleural flap. Postoperative courses were uneventful and patients discharged without any specific pro lems.