KÜNT TORAKS TRAVMASINA BAÐLI BRONÞ RÜPTÜRÜ

Trakeobronþiyal travmaya baðlý rüptürler toraks travmalarýnýn %1/2 sinde görülür. Erken tanýsý zordur, mortalitesi yüksektir. 7 ay önce trafik kazasý geçiren ve bilateral hemopnömotoraks tanýsýyla toraks tübü konarak tedavi edilmeye çalýþýlan 8 yaþýnda bir erkek çocuk hasta tarafýmýzdan sað total atelektazi tanýsýyla kliniðimize yatýrýlmýþtýr. Klinik ve radyolojik çalýþmalar sonunda sað ana bronþ rüptürü tesbit edilmiþtir.Tedavi amacýyla yapýlan sað torakotomiyle göðüs boþluðuna girilmiþ ve bronþ, karinaya reanastomoze edilmiþtir. Postoperatif dönemde ortaya çýkan þilotoraks konservatif olarak tedavi edilmiþ ve hasta post op. 16 gün taburcu edilmiþtir. Vaka teþhis ve tedavi açýsýndan örnek oluþu nedeniyle incelenmiþ ve yayýnlanmýþtýr.

BRONCHIAL RUPTURE CAUSED BY BLUNT TRAUMA

Tracheabronchial rupture is a serious and occasional lesion with an incidence of 1/2 %after major chest trauma. It has high mortality and one may have difficulties in its early radiological and clinical diagnosis. An 8-year-oldmale with a 7 months history of traffic accident and tube thoracostomy due to bilateral hemopneumothorax was admitted to our clinic with the diagnosis of right total lung atelectasis. After radiological and clinical diagnostic studies complete right main stem bronchus rupture was diagnosed. We performed right thoracotomy and anastomosed right main bronchus to the carina. Chylothorax, winch developed in the postoperative period, was treated with conservative methods and the patient discharged on the 16th day with cure. We discuss this rare traumatic rupture of the right main bronchus case because of its interesting diagnose and treatment methods.