Ramaswamy S, Sharma S K, Mitra D K, Gupta A K, Chattopadhyay T K
Department of Surgery, All India Institute of Medical Sciences, Ansari Nagar, New Delhi.
Aust N Z J Surg. 1992 Jul;62(7):594-5. doi: 10.1111/j.1445-2197.1992.tb07059.x.
Congenital tracheo-oesophageal fistula (TEF) is rare in adults. Patients who present with repeated attacks of chest infection since birth or cough, choking and cyanosis during feeding should be investigated for TEF. It should be possible to detect all cases of tracheo-oesophageal fistulae using bronchoscopy, oesophagoscopy and CT either singly or in combination. These investigations also help in deciding on the route of exploration and the type of surgery. Disconnection of the abnormal fistulous tract brings dramatic relief of symptom and prevents further pulmonary damage.
先天性气管食管瘘（TEF）在成人中较为罕见。自出生以来反复出现胸部感染发作，或在进食时出现咳嗽、呛噎和发绀的患者，应进行气管食管瘘的检查。单独或联合使用支气管镜检查、食管镜检查和CT，应该能够检测出所有气管食管瘘病例。这些检查也有助于确定探查途径和手术类型。切断异常瘘管可显著缓解症状，并防止进一步的肺部损伤。
