[气管支气管损伤]。

IF 0.5 4区 医学 Q4 SURGERY Zentralblatt fur Chirurgie Pub Date : 2024-06-01 Epub Date: 2023-10-26 DOI:10.1055/a-2182-7126
Dominik Herrmann, Erich Hecker
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引用次数: 0

摘要

气管支气管损伤是一种罕见但可能危及生命的疾病。这些伤害与高发病率和死亡率有关,这归因于潜在的疾病和额外的伤害。气道撕裂分为医源性和非医源性损伤,而非医源损伤分为钝性和穿透性损伤。气管支气管损伤的确切发生率尚不清楚,因为许多医源性损伤都是在没有症状的情况下发生的,大多数患者在创伤性撕裂伤后在住院治疗前死亡。所有怀疑气道损伤的患者都需要快速准确的治疗。常见的体征和症状有呼吸困难、咯血、喘鸣和皮下气肿。支气管镜检查是最重要的诊断工具,在某些情况下也是初步治疗的工具。进一步的治疗取决于患者的临床状况以及支气管镜检查和计算机断层扫描的结果。手术一直是治疗的基石,但在选定的患者中,必须讨论支气管镜支架植入或保守治疗。
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[Tracheobronchial Injuries].

Tracheobronchial injury is a rare, but potentially life-threatening condition. These injuries are associated with high morbidity and mortality, which is ascribed to underlying diseases and additional injuries. Lacerations of the airway are differentiated into iatrogenic and non-iatrogenic injuries, while the group of non-iatrogenic lesions are grouped into blunt and penetrating traumas.The exact incidence of tracheobronchial injury is unknown, because many iatrogenic injuries occur without symptoms and most patients after traumatic laceration die before inpatient treatment. All patients with suspicion of airway injury require fast and accurate management.Common signs and symptoms are dyspnoea, haemoptysis, stridor and subcutaneous emphysema.Bronchoscopy is the most important tool for diagnosis and in several cases also for initial treatment.Further management depends on the patient's clinical condition and findings of bronchoscopy and computed tomography. Surgery has been the cornerstone of therapy, but in selected patients bronchoscopic stent implantation or conservative management must be discussed.

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来源期刊
CiteScore
1.00
自引率
14.30%
发文量
116
审稿时长
6-12 weeks
期刊介绍: Konzentriertes Fachwissen aus Forschung und Praxis Das Zentralblatt für Chirurgie – alle Neuigkeiten aus der Allgemeinen, Viszeral-, Thorax- und Gefäßchirurgie.
期刊最新文献
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