Bronchial injury: Difference between revisions
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==Evaluation== | ==Evaluation== | ||
[[File:PMC5021783 gr2.png|thumb|Coronal CT chest view demonstrating left [[pneumothorax]], extensive soft tissue emphysema, and left main bronchus disruption.]] | [[File:PMC5021783 gr2.png|thumb|Coronal CT chest view demonstrating left [[pneumothorax]], extensive [[soft tissue emphysema]], and left main bronchus disruption.]] | ||
[[File:PMC5021783 gr1.png|thumb|Axial CT chest view of a patient with a left main bronchus injury (not shown) demonstrating left [[pneumothorax]], and soft tissue emphysema.]] | [[File:PMC5021783 gr1.png|thumb|Axial CT chest view of a patient with a left main bronchus injury (not shown) demonstrating left [[pneumothorax]], and soft tissue emphysema.]] | ||
Revision as of 12:26, 10 April 2021
Background
- Primarily due to rapid deceleration
- Most occur within 2cm of carina
Clinical Features
- Dyspnea, hemoptysis, subcutaneous emphysema, sternal tenderness
- Pneumothorax, pneumomediastinum
Differential Diagnosis
Thoracic Trauma
- Airway/Pulmonary
- Cardiac/Vascular
- Musculoskeletal
- Other
Evaluation
Coronal CT chest view demonstrating left pneumothorax, extensive soft tissue emphysema, and left main bronchus disruption.
Axial CT chest view of a patient with a left main bronchus injury (not shown) demonstrating left pneumothorax, and soft tissue emphysema.
Management
- All lacerations of the bronchi involving more than 1/3 of the circumference need surg