Tracheal Rupture Following Thoracic Injury Successfully Treated by Emergent Tracheotomy

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  • 外傷性気管膜様部裂傷に対し気管切開を行い保存的に救命した１例
  • ガイショウセイキカンマク ヨウブ レッショウ ニ タイシキカン セッカイ オ オコナイ ホゾンテキ ニ キュウメイ シタ 1レイ

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A 78-year-old man was admitted to our hospital due to thoracic injury following fall at climbing. He complained of dyspnea and thoracic pain. Computed tomography (CT) showed subcutaneous and mediastinal emphysema, and pneumothorax. We diagnosed tracheal rupture of the membranous portion of the lower trachea. Tracheotomy and thoracic drainage were performed emergently. Postoperative progress was good. The tracheal tube was removed on the 20th day and discharged on 30th day. When suspected of the rupture of the lower trachea, we have to keep airway management immediately. It might be possible to take the conservative treatment according to the area and form of tracheal damage of each case.

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