Reyes G, Galvis A G, Thompson J W
Division of Intensive Care, Childrens Hospital Los Angeles, CA.
Am J Emerg Med. 1992 May;10(3):223-5. doi: 10.1016/0735-6757(92)90214-I.
The authors report the first known case of a simultaneous esophagotracheal perforation, which occurred during an emergency intubation of a patient with airway abnormalities. The perforation was suspected from the postintubation chest roentgenograph and confirmed by fiber optic bronchoscopy which showed that the endotracheal tube had entered through the posterior wall of the trachea after perforating the esophagus. The patient had a tracheostomy done and was placed on prophylactic antibiotic therapy; the esophageal tear was left to heal spontaneously. Risk factors for esophagotracheal perforation, means to avoid it, and diagnosis and treatment considerations are discussed.
作者报告了首例已知的同时发生食管气管穿孔病例，该病例发生在一名气道异常患者的紧急插管过程中。插管后胸部X线片怀疑有穿孔，纤维支气管镜检查证实了穿孔，显示气管内导管在穿透食管后经气管后壁进入。患者接受了气管造口术，并接受预防性抗生素治疗；食管撕裂伤任其自行愈合。文中讨论了食管气管穿孔的危险因素、避免穿孔的方法以及诊断和治疗注意事项。
