钝性胸部创伤后气管食管瘘：通过计算机断层扫描成功诊断

Tracheoesophageal fistula after blunt chest trauma: successful diagnosis by computed tomography.

作者信息

Sakamoto Y, Seki Y, Tanaka N, Nakazawa T, Nobori M

机构信息

Department of Surgery, Asahi General Hospital, Chiba, Japan.

出版信息

Thorac Cardiovasc Surg. 2000 Apr;48(2):102-3. doi: 10.1055/s-2000-9866.

DOI:10.1055/s-2000-9866

PMID:11028712

Abstract

A case of tracheoesophageal fistula after blunt trauma is reported. A 27-year-old man who suffered from an automobile traffic accident complained of strong choking after drinking water. Computed tomography demonstrated a defect between the esophagus and the trachea just above the carina. Acquired tracheoesophageal fistula was suspected and promptly confirmed by contrast esophagogram. The defects of the trachea and esophagus was repaired by primary suture and buttressed using a pedicled intercostal flap. The postoperative course was uneventful.

摘要

报告一例钝性创伤后气管食管瘘病例。一名27岁男性，因交通事故受伤，饮水后出现强烈呛咳。计算机断层扫描显示在隆突上方食管与气管之间有一缺损。怀疑为后天性气管食管瘘，食管造影剂造影迅速确诊。气管和食管的缺损通过一期缝合修复，并用带蒂肋间皮瓣加固。术后过程顺利。