Yıl: 2014 Cilt: 46 Sayı: 3 Sayfa Aralığı: 209 - 215 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Trakeobronşiyal Yaralanmalara Yaklaşım

Öz:
Trakeobronşiyal yaralanmalar göreceli olarak daha nadir görülen, ancak tanı konulabilmesi için şüphelenilmesi gereken ve sıklıkla anında müdahale gerektiren durumlardır. Bu durumda ilk yapılması gereken iki önemli amaç vardır; havayolunun stabilizasyonu ve yaralanmanın lokalizasyonu ve genişliğinin belirlenmesidir. Bunlar da sıklıkla yaralanmayı tedavi edebilecek bir cerrah tarafından yapılan fiberoptik bronkoskopi ile mümkün olur. Penetran yaralanmaların çoğu servikal bölgede olur. Künt yaralanmaların çoğu ise distal trakea ve sağ ana bronşda olur ve en iyi sağ posterolateral torakotomi ile yaklaşılır. Yaklaşım şeklinin seçimi ve zamanı ek yaralanmaların varlığı ve trakeobronşiyal yaralanmanın şiddetine bağlıdır. Yaralanmaların çoğu tek tek suturler kullanılarak yapılan basit tekniklerle onarılabilirken bazıları kompleks rekonstruksiyon teknikleri gerektirir. Pulmoner temizliğe dikkat edilmesi yanında anastomotik teknik veya stenozun tesbit edilmesi için takip önemlidir. Özellikle iatrojenik yaralanmalı hastalarda konservatif tedavi yaklaşımları da kabul edilebilir bir yaklaşım seçeneği olmaktadır.
Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Management of Tracheobronchial Injuries

Öz:
Tracheobronchial injury is one of cases which are relatively uncommon, but must be suspected to make the diagnosis and managed immediately. In such a case, primary initial goals are to stabilize the airway and localize the injury and then determine its extend. These can be possible mostly with flexible bronchoscopy conducted by a surgeon who can repair the injury. Most of the penetrating injuries occur in the cervical region. On the other hand, most of the blunt injuries occur in the distal trachea and right main bronchus and they can be best approached by right posterolateral thoracotomy. The selection of the manner and time of approaching depends on the existence and severity of additional injuries. Most of the injuries can be restored by deploying simple techniques such as individual sutures, while some of them requires complex reconstruction techniques. Apart from paying attention to the pulmonary toilet, followup is crucial for determination of anastomotic technique or stenosis. Conservative treatment may be considered an option with a high probability of success in patients meeting the criteria, especially in patients with iatrogenic tracheobronchial injury.
Anahtar Kelime:

Konular: Genel ve Dahili Tıp
Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık
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APA ALTINOK T, CAN A (2014). Trakeobronşiyal Yaralanmalara Yaklaşım. , 209 - 215.
Chicago ALTINOK Tamer,CAN ATİLLA Trakeobronşiyal Yaralanmalara Yaklaşım. (2014): 209 - 215.
MLA ALTINOK Tamer,CAN ATİLLA Trakeobronşiyal Yaralanmalara Yaklaşım. , 2014, ss.209 - 215.
AMA ALTINOK T,CAN A Trakeobronşiyal Yaralanmalara Yaklaşım. . 2014; 209 - 215.
Vancouver ALTINOK T,CAN A Trakeobronşiyal Yaralanmalara Yaklaşım. . 2014; 209 - 215.
IEEE ALTINOK T,CAN A "Trakeobronşiyal Yaralanmalara Yaklaşım." , ss.209 - 215, 2014.
ISNAD ALTINOK, Tamer - CAN, ATİLLA. "Trakeobronşiyal Yaralanmalara Yaklaşım". (2014), 209-215.
APA ALTINOK T, CAN A (2014). Trakeobronşiyal Yaralanmalara Yaklaşım. Eurasian Journal of Medicine, 46(3), 209 - 215.
Chicago ALTINOK Tamer,CAN ATİLLA Trakeobronşiyal Yaralanmalara Yaklaşım. Eurasian Journal of Medicine 46, no.3 (2014): 209 - 215.
MLA ALTINOK Tamer,CAN ATİLLA Trakeobronşiyal Yaralanmalara Yaklaşım. Eurasian Journal of Medicine, vol.46, no.3, 2014, ss.209 - 215.
AMA ALTINOK T,CAN A Trakeobronşiyal Yaralanmalara Yaklaşım. Eurasian Journal of Medicine. 2014; 46(3): 209 - 215.
Vancouver ALTINOK T,CAN A Trakeobronşiyal Yaralanmalara Yaklaşım. Eurasian Journal of Medicine. 2014; 46(3): 209 - 215.
IEEE ALTINOK T,CAN A "Trakeobronşiyal Yaralanmalara Yaklaşım." Eurasian Journal of Medicine, 46, ss.209 - 215, 2014.
ISNAD ALTINOK, Tamer - CAN, ATİLLA. "Trakeobronşiyal Yaralanmalara Yaklaşım". Eurasian Journal of Medicine 46/3 (2014), 209-215.