Abstract：
:The aim of this study was to assess radiomorphologic and clinical features of tracheal rupture due to blunt chest trauma. From 1992 until 1998 the radiomorphologic and clinical key findings of all consecutive tracheal ruptures were retrospectively analyzed. The study included ten patients (7 men and 3 women; mean age 35 years); all had pneumothoraces which were persistent despite suction drainage. Seven patients developed a pneumomediastinum as well as a subcutaneous emphysema on conventional chest X-rays. In five patients, one major hint leading to the diagnosis was a cervical emphysema, discovered on the lateral cervical spine view. Contrast-media-enhanced thoracic CT was obtained in all ten cases and showed additional injuries (atelectasis n = 5; lung contusion n = 4; lung laceration n = 2; hematothorax n = 2 and hematomediastinum n = 4). The definite diagnosis of tracheal rupture was made by bronchoscopy, which was obtained in all patients. Tracheal rupture due to blunt chest trauma occurs rarely. Key findings were all provided by conventional chest X-ray. Tracheal rupture is suspected in front of a pneumothorax, a pneumomediastinum, or a subcutaneous emphysema on lateral cervical spine and chest films. Routine thoracic CT could also demonstrate these findings but could not confirm the definite diagnosis of an tracheal rupture except in one case; in the other 9 cases this was done by bronchoscopy. Thus, bronchoscopy should be mandatory in all suspicious cases of tracheal rupture and remains the gold standard.
journal_name
Eur Radioljournal_title
European radiologyauthors
Kunisch-Hoppe M,Hoppe M,Rauber K,Popella C,Rau WSdoi
10.1007/s003300050080subject
Has Abstractpub_date
2000-01-01 00:00:00pages
480-3issue
3eissn
0938-7994issn
1432-1084journal_volume
10pub_type
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journal_title：European radiology
pub_type： 杂志文章,评审
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journal_title：European radiology
pub_type： 杂志文章
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更新日期：2005-12-01 00:00:00
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journal_title：European radiology
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journal_title：European radiology
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更新日期：2002-04-01 00:00:00
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journal_title：European radiology
pub_type： 杂志文章,多中心研究,随机对照试验
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journal_title：European radiology
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pub_type： 杂志文章,评审
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