王永刚　张邦明

[摘要] 目的 探讨胸外伤并发气管破裂的诊断及其治疗方法。方法 整群选取于2012年7月—2015年9月在该院接受治疗的胸外伤并发气管破裂患者共21例。观察患者的临床表现，对所有患者均进行胸部CT检查，依据患者的具体病情实施对症治疗，治疗方法主要包括手术治疗与保守治疗。结果 所有患者接受手术后，痊愈率为90.5%，并发症发生率为14.3%，均未出现支气管胸膜瘘、脓胸等严重并发症。结论 对胸外伤严重的患者应及时进行确诊，给予相应的治疗，避免术后出现后遗症，保障患者的生命安全。

[关键词] 胸外伤；气管破裂；诊断方法；治疗方法

[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2016）02（b）-0167-02

[Abstract] Objective To discuss the diagnosis and treatment method of chest trauma complicated by tracheal rupture. Methods 21 cases of patients with chest trauma complicated by tracheal rupture treated in our hospital from June 2012 to September 2015 were selected and the patients clinical manifestations were observed and all patients received chest CT examination and were given the symptomatic treatment according to the patients specific conditions， the treatment methods mainly included operative treatment and conservative treatment. Results After all patients receiving operation， the cure rate was 90.5% and the incidence of complications was 14.3%， both groups had no severe complications such as bronchopleural fistula and empyema. Conclusion We should give timely diagnosis and corresponding treatment for patients with severe chest trauma in order to avoid the occurrence of sequelae after operation and ensure the patients life security.

[Key words] Chest trauma； Tracheal rupture； Diagnostic method； Treatment method

近几年，随着我国社会经济的不断发展，胸外伤的发病率呈现出逐年上升的趋势，其中，胸外伤并发气管破裂的发生率明显升高，大约占胸外伤总数的1.0%～6.5%左右。该疾病产生的一个重要原因是因我国交通事业的快速发展，导致交通事故的发生率逐渐上升，因交通事故出现胸外伤的患者往往属于复合性创伤，且容易出现器官性损伤。胸外伤并发气管破裂主要以呼吸困难为主要特征，且常常会伴随着休克现象，对患者的生命安全造成威胁。临床治疗过程中，胸外伤患者一经确诊，应立即采用及时有效地措施进行抢救，从而保障患者的生命安全。为了探究胸外伤并发气管破裂的诊断及其治疗方法，该研究将2012年7月—2015年9月在该院接受治疗的21例胸外伤并发气管破裂的患者作为研究对象，现报道如下。……