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CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ |
| Journals - Article | |
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| Česky / Czech version | Anest. Neodkl. Péče, 12, 2001, No. 5, p. 260-262 |
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Post-traumatical Tracheomalacia with Tracheo-oesophageal Phistula – Less Frequent Complication of Blunt Neck Trauma: a Case Report Řehořková D., Svoboda P. 1 , Kantorová I. 1 , Hájek R., Bosáková H., Vrastyák J. 2 , Chasáková D. 3 Anesteziologicko-resuscitační oddělení, Úrazová nemocnice, Brno, vedoucí prim. MUDr. D. Řehořková, CSc., 1 Interní oddělení, Úrazová nemocnice, Brno, vedoucí doc. MUDr. Petr Svoboda, CSc., 2 Chirurgická základna, Úrazová nemocnice, Brno, vedoucí prim. MUDr. Jiří Vrastyák, 3 CT pracoviště, Úrazová nemocnice, Brno, vedoucí prim. MUDr. Drahomíra Chasáková |
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Summary: A polytraumatized patient with blunt trauma to the upper torso and comminutive femur fracture developed ventilation problems on the seventh day
of hospitalization. Endoscopic examination revealed tracheomalacia with tracheo-oesophageal phistula. The paper summarizes the subsequent
treatment, stressing the importance of multidisciplinary approach and proper timing of surgical interventions. Intensive care appropriate to the severity
of disease and actual condition should be focused on optimalization of hemodynamics and markers of nutrition and immunity.
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