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目的探讨外伤性主支气管断裂的临床特征和吻合方法,提高诊断及治疗效果。方法10例外伤性主支气管断裂患者,6例行支气管断端吻合术,3例行右肺上叶袖状切除术,1例行左全肺切除术。3例用prolene线单纯连续缝合,4例用微桥线间断全层缝合,3例用prolene线环部连续加膜部间断缝合。结果术后发生患侧肺不张3例,术后无呼吸衰竭、死亡病例,住院10～17d。结论术后常规行纤维支气管检查是围术期管理的重要手段,左侧行单纯连续缝合、右侧环部连续加膜部间断缝合即简化操作且临床效果满意。
Objective To investigate the clinical features and anastomosis of traumatic bronchial rupture to improve the diagnosis and treatment effect. Methods Ten patients with traumatic bronchus rupture, six patients underwent bronchial anastomosis, three patients underwent right upper lobe sleeve resection and one underwent left pneumonectomy. 3 cases with prolene line simple continuous suture, 4 cases with micro-bridge interrupted full-thickness suture, 3 cases with prolene line department continuous plus membrane intermittent suture. Results 3 cases of ipsilateral atelectasis occurred after operation, no postoperative respiratory failure, death and hospitalization 10 ~ 17d. Conclusion Conventional routine fibrobronchoscopy is an important means of perioperative management. The left side of the line is simply continuous suture. The continuous operation of intermittent suture on the right side of the ring is simplified and the clinical effect is satisfactory.