Complete Laceration of the Middle Lobe Bronchus Caused by Blunt Trauma
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概要
- 論文の詳細を見る
Bronchial ruptures due to blunt trauma are rarely encountered injuries. A previously healthy 42-year-old man fell from heights of 8 meters. A prompt chest tube-drainage for suspected right sided tension pneumothorax and a tracheal intubation were performed. Massive air leak and pneumothorax of the right lung continued. Laceration of the tracheobronchial tree was suspected. Operation was performed 20 hours after patient’s arrival. The complete avulsion of the middle lobe bronchus was identified during operation, and a middle lobectomy was performed. The patient was transferred to a rehabilitation hospital on 20th post-operative day without complication. Early decision making for surgery resulted in a good outcome. When a complete atelectasis of the whole right lung and a massive air leakage continues despite appropriate chest-tube drainage in a blunt trauma patient, laceration of the tracheobronchial tree should be suspected.
著者
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Ohtsuka Takashi
Division Of Equipment Inspection Marifu Refinery Koa Oil Co. Ltd.
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Nomori Hiroaki
Division Of General Thoracic Surgery Department Of Surgery Graduate School Of Medicine Keio Universi
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Kohno Mitsutomo
Division Of General Thoracic Surgery Department Of Surgery Keio University School Of Medicine
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Izumi Yotaro
Division Of General Thoracic Surgery Department Of Surgery Keio University School Of Medicine
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HASHIMOTO Kohei
Division of General Thoracic Surgery, Department of Surgery, School of Medicine, Keio University
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Anraku Masaki
Division of General Thoracic Surgery, Department of Surgery School of Medicine, Keio University, Tokyo, Japan
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Goto Taichiro
Division of General Thoracic Surgery, Department of Surgery School of Medicine, Keio University, Tokyo, Japan
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Nomori Hiroaki
Division of General Thoracic Surgery, Department of Surgery School of Medicine, Keio University, Tokyo, Japan
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Hashimoto Kohei
Division of General Thoracic Surgery, Department of Surgery School of Medicine, Keio University, Tokyo, Japan
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Izumi Yotaro
Division of General Thoracic Surgery, Department of Surgery School of Medicine, Keio University, Tokyo, Japan
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Ohtsuka Takashi
Division of General Thoracic Surgery, Department of Surgery School of Medicine, Keio University, Tokyo, Japan
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Kohno Mitsutomo
Division of General Thoracic Surgery, Department of Surgery School of Medicine, Keio University, Tokyo, Japan
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