J Korean Soc Emerg Med.  1998 Dec;9(4):674-679.

A Case of Management of Acute Traumatic Injury to the Trachea and the Left Main Bronchus

Abstract

Recently, increased traffic accident has resulted in a corresponding increase in incidences of blunt trauma. Tracheal and main bronchial injuries artier blunt chest trauma can be life-threatening, and hence early diagnosis and early management of patients with such injuries are essential. A 3-year-old boy was transferred to the Department of Emergency Medicine after a motor vehicle accident in which he sustained multiple blunt injuries consisting of tracheal rupture, left main bronchial rupture, liver laceration, vitreous hemorrhage, and fracture of the iliac wing. The tracheal rupture was managed nonoperatively with intensive respiratory care, while the left main bronchial rupture was managed surgically by bronchoplasty. Postoperative course was uneventful and the patient was discharged without respiratory problems.


MeSH Terms

Accidents, Traffic
Bronchi*
Child, Preschool
Early Diagnosis
Emergency Medicine
Humans
Incidence
Lacerations
Liver
Male
Motor Vehicles
Rupture
Thorax
Trachea*
Vitreous Hemorrhage
Wounds, Nonpenetrating
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