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Thorac Cardiovasc Surg 2007; 55(7): 447-449
DOI: 10.1055/s-2007-965378
Original Thoracic

© Georg Thieme Verlag KG Stuttgart · New York

Effective Management of Main Bronchial Rupture in Patients with Chest Trauma

Y. Zhao1 , 2 , 3 , J. Jiao1 , Z. Shan2 , Q. Fan2 , J. Hu4 , Q. Zhang3 , X. Zhu5
  • 1The Affiliated Hospital, Hainan Medical College, Haikou, P. R. China
  • 2The Affiliated Zhongshan Hospital, Xiamen University, Xiamen, P. R. China
  • 3Department of Cardiothoracic Surgery, The Third Xiangya Hospital, Central South University, Changsha, P. R. China
  • 4Department of Internal Medicine, Yiyang Central Hospital, Yiyang, P. R. China
  • 5Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA
Further Information

Publication History

received March 20, 2007

Publication Date:
28 September 2007 (online)

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Abstract

Background: The purpose of the current study was to investigate the most effective diagnostic method and the effect of surgical treatment on traumatic main bronchial rupture. Methods: Chest X-rays, CT and fiberoptic bronchoscopy were the main means used to confirm the diagnosis. Surgery was performed as early as possible. Results: Pneumonectomy was performed in 1 patient. Bronchial end-to-end anastomosis was performed in 10 patients whose lungs were well ventilated, and lung function recovered. Conclusion: Main bronchial rupture occurs relatively rarely. Early diagnosis and operative intervention can save lives.

Key words

thoracic surgery - bronchus rupture - chest trauma

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Prof. MD, PhD Yongxiang Zhao

The Affiliated Hospital
Hainan Medical College

Haikou, Hainan 571101

P. R. China

Phone: + 86 8 98 31 35 09 58

Fax: + 86 8 98 31 35 09 98

Email: yongxiang_zhao@126.com