A 6 -year -old boy encountered a car accident and bronchial fracture. Experts collaborated to rebuild the "Life Channel"

Author:Hunan Medical Chat Time:2022.09.20

The 6 -year -old boy was broken in the right bronchial bronchial due to a car accident, and the situation was critical. It was successfully rescued under the collaboration of multi -disciplines such as thoracic surgery, child respiratory intervention, anesthesiology, and children's intensive medical department of Hunan Provincial People's Hospital, and was discharged from hospital for recovery.

On the morning of August 14, 2022, Junjun (pseudonym), who lived in Huaihua, Hunan, collided with agricultural vehicles by the family's motorcycle, and then had difficulty breathing and coma. After half a month in the local hospital, the condition improved, but he couldn't breathe. In order to find the cause, his family took him to the Hunan Provincial People's Hospital Children's A respiration. After improving the chest CT, fibrous mirror, etc.

Due to the breakthrough of the main bronchial side, if it is not intervened in time, there may be full lungs, severe lung infections, or even respiratory failure, which may endure life. Therefore, related departments such as thoracic surgery, children's respiratory intervention, and anesthesiology department immediately conducted multi -disciplinary consultation. After discussion, the thoracic surgery was decided to perform the right bronchial fracture repair surgery.

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[Display chest CT before surgery: Right main bronchial fracture (referred to as arrows)]

On August 31, the head of the Department of Anesthesiology Liu Jitong, the deputy chief physician Pei Wanmin, Ma Ma, the director of the thoracic surgery, and the deputy chief physician of Yan Jianhua, overcome the longer injury time, severe scar in the surgery area, coupled If it is more detailed and uncomfortable, the "right main bronchial cuff resection of the formation" was successfully implemented. The surgery lasted 3 hours, and the patients were transferred to children's intensive medical department after surgery.

The success of the operation does not mean that Junjun is "safe". Next, he has to face difficulties in the face of postoperative infection, anastomotic fistula, and stenosis. To this end, Director Xie Kelin went to pediatrics every day to understand the postoperative recovery of children. After careful treatment and nursing of the Children's Health Medical Medical Care Team, Junjun resumed smoothly and was discharged on September 19.

Xun Kelin said that the bronchial fracture of the trachea mostly occurred in severe chest collision or squeezing injuries, which is a very dangerous surgical emergencies. Most patients will quickly cause danger of breathing difficulties, tension pneumothorax, and suffocation after being injured, and quickly clarify the diagnosis and surgery in time to save the patient's life!

(Source: Yi Lei, thoracic surgery of Hunan Provincial People's Hospital)

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