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KMID : 0364019960290030355
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Korean Journal of Thoracic and Cardiovascular Surgery
1996 Volume.29 No. 3 p.355 ~ p.359
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Surgical Treatment of Bronchial Rupture by Blunt Chest Trauma in Children
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Abstract
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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.
Ppatients suffered from progressively developing dyspnea and subcutaneous emphysema on the neck, anterior chest, and anterior abdominal wall.
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 problems.
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