医药学医学毕业论文 创伤性主支气管断裂的诊治

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1、湖南师范大学本科毕业论文考籍号：XXXXXXXXX姓名：XXX专业：医药学医学论文题目：创伤性主支气管断裂的诊治指导老师：XXX二〇一一年十二月十日赵永祥，范钦明，胡景云，张权，胡冬煦，杨进福，朱樾【摘要】目的探讨外伤性主支气管断裂的诊断和手术治疗效果。方法胸片、CT和纤维支气管镜是诊断支气管断裂的主要方法。结果11例均行支气管断端吻合，术后肺膨胀良好，肺功能基本恢复。结论主支气管断裂的诊断一旦确立，应尽快手术治疗，能获得良好的疗效。【关键词】支气管；破裂；诊断；外科；治疗【Abstract】ObjectiveTost

2、udythediagnosisandsurgicaltreatmentfortraumaticmainbronchialrupture.MethodsChestXrays，CTandfiberopticbronchoscopywerethemainmeanstoconfirmthediagnosis.Bronchialendtoendanastomosiswereperformedin10patientsandpneumonectomyononecasebecauseofinfection.ResultsAll

3、thelungswerewellventilatedandlungfunctionrecovered.ConclusionMainbronchialruptureoccursrelativelyrarely.Earlydiagnosisandoperativeinterventionsavelives.【Keywords】bronchi；rupture；diagnosis；surgery；treatmentAcuteinjuriesofbronchialsystemarerareandlifethreatenings

4、ituations，whichcancauseacuteasphyxia［1，2］.Mainbronchialrupture，ararebutpotentiallyfatalcondition，resultsfromblunt/penetratingchestandhasdifferentclinicalpictures［3～6］，occurrencesoftheseinjuriesareonlyabout0.8%ofallchestinjuries.Since1994，wehavetreatedtotally11ca

5、ses，thediagnosisandsurgicaltreatmentforthesecasesarereportedhere.1Clinicalinformation1.1GeneralinformationTheinformationwasobtainedbyreviewingtheoperativerecordsandarchivefilesfrom1994to2003atourhospitals.Thegroupconsistedof11patients(male：7cases，female：4cases)w

6、ithpenetratingorbluntbronchialinjurieswhowererevealedintheemergencydepartment(seeFig.1，2).Allinjuriesinvolvedthemainstembronchi.Therightmainbronchialruptureconsistedof4cases，whiletheleftmainbronchial7cases.Theshortesttimeoftraumawas7days，thelongesttimewasoneyear

7、andhalf.Clinicalfindings：themostcommonpresentingsignsofairwaydisruptionweredyspnea，pneumothorax，mediastinumandsubcutaneousemphysemain8cases，hemoptysisin5cases.In7patientstheatelectasiswerefoundin10daysto3monthsaftertrauma.Radiology：chestXrayshowedthatcompletetr

8、ansactionofamainbronchusmightresultintheclassicsignsofatelectasis，“absenthilum”oracollapsingofthelungawayfromthehilustowardthediaphragm，knownasthefallinglungsignofkum