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本文引用的文献

1
Achalasia (cardiospasm); report of a case with extreme and unusual manifestations.
Ann Intern Med. 1950 Jun;32(6):1184-90. doi: 10.7326/0003-4819-32-6-1184.
2
Achalasia presenting as acute airway obstruction.以急性气道梗阻为表现的贲门失弛缓症。
Dig Dis Sci. 2000 Oct;45(10):2079-83. doi: 10.1023/a:1005520814824.
3
Tracheal obstruction in achalasia: a role for airway stenting?贲门失弛缓症中的气管梗阻：气道支架置入术能发挥作用吗？
Ann Thorac Surg. 1998 Sep;66(3):939-41. doi: 10.1016/s0003-4975(98)00562-1.
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Manometric findings of the upper esophageal sphincter in esophageal achalasia.贲门失弛缓症患者食管上括约肌的测压结果
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5
Achalasia presenting as acute stridor.表现为急性喘鸣的贲门失弛缓症。
Eur J Gastroenterol Hepatol. 1997 Nov;9(11):1125-8. doi: 10.1097/00042737-199711000-00019.
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Cricopharyngeus myotomy for upper airway obstruction in achalasia.
Br J Surg. 1995 Dec;82(12):1668-9. doi: 10.1002/bjs.1800821227.
7
Esophageal achalasia and coexistent upper esophageal sphincter relaxation disorder presenting with airway obstruction.食管失弛缓症与并存的食管上括约肌松弛障碍伴气道梗阻。
Gastroenterology. 1995 Oct;109(4):1328-32. doi: 10.1016/0016-5085(95)90596-0.
8
Tracheal compression relieved by cardiomyotomy.通过心肌切开术缓解气管压迫。
Thorax. 1982 Oct;37(10):776-7. doi: 10.1136/thx.37.10.776.
9
Stridor due to an achalasia-like condition of the oesophagus.因食管失弛缓症样病症导致的喘鸣。
J Laryngol Otol. 1987 Dec;101(12):1297-300. doi: 10.1017/s0022215100103718.
10
Distended oesophagus as a cause of bilateral recurrent laryngeal nerve palsy.扩张的食管作为双侧喉返神经麻痹的一个病因。
Postgrad Med J. 1988 Dec;64(758):958-9. doi: 10.1136/pgmj.64.758.958.

贲门失弛缓症危及生命的急性气道梗阻

Life-threatening acute airway obstruction in achalasia.

作者信息

Wagh Mihir S, Matloff Daniel S, Carr-Locke David L

机构信息

Division of Gastroenterology, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA.

出版信息

MedGenMed. 2004 Sep 21;6(3):12.

PMID:15520635
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1435617/
Abstract

Acute airway obstruction from mega-esophagus is an extremely rare presentation of achalasia. We present the case of an 82-year-old woman without previously diagnosed achalasia who presented with shortness of breath. Her respiratory status deteriorated rapidly, with development of stridor. Prompt nasogastric tube placement decompressed the dilated esophagus and relieved airway obstruction. This case illustrates an unusual presentation of achalasia and underscores the need for emergent life-saving esophageal decompression. Hypotheses regarding the mechanism of airway compromise as well as treatment options are reviewed.

摘要

巨食管导致的急性气道梗阻是贲门失弛缓症极为罕见的一种表现形式。我们报告一例82岁女性患者，此前未诊断出贲门失弛缓症，此次因呼吸急促就诊。她的呼吸状况迅速恶化，出现喘鸣。及时放置鼻胃管使扩张的食管减压，缓解了气道梗阻。该病例说明了贲门失弛缓症的一种不寻常表现，并强调了紧急进行挽救生命的食管减压的必要性。文中还对气道受压机制及治疗选择的相关假说进行了综述。