KMID : 0364019900230030588
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Korean Journal of Thoracic and Cardiovascular Surgery 1990 Volume.23 No. 3 p.588 ~ p.593
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Tracheobronchial Rupture following Blunt Chest Trauma
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Abstract
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The rupture of tracheobronchial tree caused by non penetrating blunt trauma is being increased in incidence though it is still rarely occurred on now. Because this type of injury is uncommon, a high index of suspicion should be maintained in all crush in-juries involving- the chest. 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 a case of tracheobronchial rupture caused by non penetrating blunt chest trauma without rib fracture. The patient was a 16 year old male who was a high school student. He was¢¥ compressed on anterior chest by hand ball goal post being falled down on the morning of admission day. After this accident, he was sufferred from progressively developing dyspnea and subcutaneous emphysema on face, neck and anterior chest. The diagnosis, tracheal rupture, was made by chest CT and bronchoscopy. After right thoracotomy, the ruptured site was directly closed by using interrupted suture. Post-operative course was uneventful. Thus we report this case of traumatic tracheal rupture with review of literature.
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