On Could 21, data from Central Basic Hospital (Central Basic Hospital) Can Tho stated that medical doctors from the Division of Thoracic and Vascular Surgical procedure saved the lifetime of a affected person whose proper major bronchus was severed, inflicting a vital empyema. .
The feminine affected person, from Hau Giang, was transferred to Can Tho Central Hospital on Could 3, 2024 with left chest ache, and had a proper pleural drainage tube positioned on the eighth day within the decrease stage. Beforehand, a affected person using a motorcycle had a visitors accident after which had issue respiratory, chest ache, and a number of rib fractures and was transferred to a neighborhood hospital for emergency therapy.
The outcomes of chest X-ray and chest computed tomography with distinction confirmed that the affected person had fractures of ribs 1-2 on the appropriate and 1-5 on the left; Passive collapse of proper lung parenchyma, injury to proper lung alveoli, pneumothorax, proper pleural effusion.
Bronchoscopy outcomes confirmed that the mucosa of the appropriate major bronchus was congested, the bronchial cartilage ring was misplaced, and the bronchoscope was blocked and couldn’t transfer right down to the appropriate major bronchus.
Docs carried out a surgical session with the prognosis of ruptured proper major bronchus, a number of fractures of 1-2 proper ribs/visitors accident.
Pictures of collapsed lung and pneumothorax on chest X-ray. Photograph: BVCC.
The surgical workforce of the Division of Thoracic and Vascular Surgical procedure carried out a proper thoracotomy, entered the appropriate pleural cavity, famous a very collapsed lung, and eliminated 300ml of pus and a thick, sticky pleural sheath. The surgical workforce continued to peel off the appropriate pleura, revealing that the appropriate major bronchus was severed and the appropriate higher lobe bronchus was crushed.
Instantly after that, the workforce carried out a lobectomy on the appropriate lung, connecting the appropriate major bronchus to the intermediate bronchus, cleansing the pleural cavity… The surgical procedure was profitable after 9 tense hours.
Present situation: The affected person is awake, his lungs are properly ventilated, and his well being is secure. The affected person is anticipated to be discharged from the hospital on Could 21.
The affected person is ok after surgical procedure. Photograph: BVCC
Based on Specialist II Tram Cong Chat – Head of the Division of Thoracic and Vascular Surgical procedure (chief surgeon), tracheobronchial rupture is a uncommon harm in chest trauma (about 1 – 3%). The injury is commonly extreme, with about 30 – 80% of victims dying earlier than reaching the hospital.
Early prognosis is essential, serving to to restrict critical issues and guarantee restoration. Nonetheless, in medical follow that is typically troublesome to attain. “The success of the surgical procedure will hopefully deliver confidence to the individuals of the Mekong Delta,” stated Dr. Chat.
