Blunt traumatic airway injury is a life-threatening injury in which urgent management is pivotal and this would come through improving our clinical management and diagnostic tools. Our objective was to emphasize the importance of early referral and urgent surgical repair of major airway injury. Records of 42 patients with major airway injury out of 17,520 registered thoracic trauma cases were reviewed over the past 15 years. Twenty-eight cases documented to have major tracheobronchial injuries due to blunt trauma underwent surgical repair either urgent (21 cases) or late (7 cases). The age ranged from 8 to 43 years old with a mean age of 22.3 ± 0.8. The most common presenting symptom was shortness of breath in 22 (78.6%) cases and the most frequent sign was subcutaneous emphysema which was seen in 22 (78.6%) cases. The postoperative morbidity and mortality rates were significantly higher in the delayed repair group (p value < 0.001). The urgent surgical repair is the treatment of choice for major airway injury which is facilitated by early recognition and referral. It is pivotal to avoid respiratory and systemic complications and related mortality.

中文翻译：

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紧急手术修复对于钝性创伤造成的严重气道损伤的治疗至关重要

钝性气道外伤是威胁生命的伤害，其中紧急治疗至关重要，这将通过改善我们的临床管理和诊断工具来实现。我们的目标是强调严重气道损伤的早期转诊和紧急手术修复的重要性。在过去的15年中，回顾了17520例登记的胸外伤病例中的42例严重气道损伤患者的记录。记录有28例因钝器创伤而造成的严重气管支气管损伤的病例，进行了紧急手术（21例）或晚期（7例）的外科手术修复。年龄为8至43岁，平均年龄为22.3±0.8。最常见的症状是呼吸急促22例（78.6％），最常见的症状是皮下气肿，有22例（78.6％）。延迟修复组的术后发病率和死亡率显着更高（p值<0.001）。紧急外科手术修复是严重气道损伤的首选治疗方法，可通过尽早识别和转诊来实现。避免呼吸系统和全身并发症以及相关死亡率至关重要。