[Recent tracheobronchial ruptures caused by closed injuries of the thorax. Diagnosis and complications in 18 cases].
Tracheo-bronchial ruptures are serious complications of thoracic trauma. The authors report their experience of 18 cases: 3 tracheal ruptures, 3 tears in the tracheal or bronchial membrane, 11 unilateral bronchial ruptures and 1 bilateral bronchial rupture. Diagnostic endoscopy was performed immediately in 9 cases, with a delay of 2 to 3 days in 6 cases and with a longer delay (15th, 23rd and 25th days) in 3 cases. The treatment was non-operative in the 3 cases with membranous tears. The other patients were operated by resection of the contused area and end-to-end anastomosis of the ruptured extremities: within 24 hours following the diagnosis in 10 cases, and after a delay in the 5 other cases. The post-operative course was uncomplicated in 13 cases; 1 patient developed a bronchial stenosis requiring pneumonectomy and 4 patients died, including 2 from infective lesions due to delay in the diagnosis.
D000293:Adolescent; D000328:Adult; D000368:Aged; D001980:Bronchi / Q000293:injuries*; D001999:Bronchoscopy; D005260:Female; D005336:Fiber Optic Technology; D006801:Humans; D008297:Male; D008875:Middle Aged; D012421:Rupture; D013997:Time Factors; D014132:Trachea / Q000293:injuries*; D014949:Wounds, Nonpenetrating / Q000150:complications*
Ruptures trachéo-bronchiques récentes par traumatisme fermé du thorax. Diagnostic et complications sur 18 cas.