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Vol. 14. Issue 3.
Pages 409-414 (May - June 2008)
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Vol. 14. Issue 3.
Pages 409-414 (May - June 2008)
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Fractura brônquica: Tratamento broncoscópico com colocação de prótese e broncoplastia com balão
Bronchial fracture: Bronchoscopy management with bronchial stent and balloon bronchoplasty
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Daniela Ferreira1,
, Ricardo Lima1, Ana Oliveira2, Sofia Neves2, Javier San José2, José Almeida2, João Moura e Sá3, Bárbara Parente4
1 Interno Complementar de Pneumologia
2 Assistente Hospitalar de Pneumologia
3 Assistente Hospitalar Graduado de Pneumologia
4 Serviço: Unidade de Broncologia, Serviço de Pneumologia do Centro Hospitalar de Vila Nova de Gaia
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Resumo

A fractura brônquica é uma lesão rara, de mortalidade elevada, e geralmente secundária a traumatismos torácicos fechados. O seu diagnóstico exige alto índice de suspeição, na medida em que as manifestações são variáveis e não específicas. A broncoscopia desempenha um papel primordial no diagnóstico e, em casos seleccionados, no tratamento das fracturas brônquicas.

Os autores apresentam o caso clínico de um doente politraumatizado com um traumatismo torácico grave após um acidente de trabalho. A broncoscopia revelou fractura extensa do brônquio principal esquerdo, tendo sido realizado tratamento conservador com colocação de prótese e broncoplastia com balão.

Apresentase uma revisão da literatura da fractura brônquica e o papel diagnóstico e terapêutico da broncoscopia.

Palavras-chave:
Fractura brônquica
traumatismo
broncoscopia
prótese brônquica
broncoplastia com balão
Abstract

Bronchial fracture is a rare, life-threatening injury usually associated with blunt chest trauma. It represents a great task in diagnosis, as its manifestations are various and nonspecific.

Bronchoscopy has a primordial role to diagnose and, in selective cases, to treat bronchial fractures.

The authors present the case report of a patient with a thoracic trauma after an accident in the workplace. The bronchoscopy revealed a fracture of the left main bronchus. Conservative treatment was performed with endobronchial stenting and balloon dilatation.

In conclusion, a review of the literature on bronchial fracture and the role of bronchoscopy is presented.

Key-words:
Bronchial fracture
trauma
bronchoscopy
endobronchial stent
balloon bronchoplasty
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Copyright © 2008. Sociedade Portuguesa de Pneumologia
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