@article{ref1,
title="Major respiratory tract traumas",
journal="Khirurgiia",
year="2002",
author="Petrov, D. and Obretenov, E. and Kalaĭdzhiev, G. and Plochev, M. and Kostadinov, D.",
volume="58",
number="1",
pages="28-31",
abstract="Between 1988 and 2000 a total of 33 patients with traumatic tracheobronchial lesions were diagnosed and treated. The trauma was penetrating in 7 (stab and gun-shot), blunt in 10 (car accidents, compression and falling from heights) and iatrogenic in 16 of them (postintubational--15, after foreign body extraction--1). The main clinical and radiological features were subcutaneous emphysema, hemoptysis, respiratory insufficiency, pneumomediastinum and pneumothorax. The diagnosis was confirmed in all patients by early fiberoptic bronchoscopy. &quot;Watch and see&quot; tactics with massive antibiotics therapy was followed in 4 (12%) patients. A surgical treatment was carried out in 29 (88%) patients as follows: simple repair--19 (58%), left pneumonectomy--2 (6%), tracheal resection and anastomosis &quot;end to end&quot;--2 (6%), tracheostomy--1 (3%), thoracocenthesis and drainage--3 (9%) and cervical mediastinotomy--2 (6%). The operative mortality was 9%. The cause of death in these 3 patients were associated brain and spinal cord injuries. In the rest of patients the early and long-term postoperative results were considered very good.<p /><p>Language: bg</p>",
language="bg",
issn="0450-2167",
doi="",
url="http://dx.doi.org/"
}