McCallion W A, Hannon R J, Boston V E
Department of Paediatric Surgery, Royal Belfast Hospital for Sick Children, Northern Ireland.
J Pediatr Surg. 1992 May;27(5):561. doi: 10.1016/0022-3468(92)90446-e.
In a review of 110 cases of esophageal atresia (EA) and tracheoesophageal fistula (TEF), 15 patients (13.6%) developed anastomotic leakage. All patients had extrapleural surgical exposure and prophylactic extrapleural chest drainage (PEPCD). Despite this precaution, all patients with anastomotic leaks developed a pneumothorax with or without a pleural effusion. This required insertion of an additional drain in 12 (80%) cases. PEPCD following repair of EA and TEF does not appear to prevent pneumothorax or pleural effusion when anastomotic leakage occurs.
在一项对110例食管闭锁（EA）和气管食管瘘（TEF）病例的回顾中，15例患者（13.6%）发生了吻合口漏。所有患者均接受了胸膜外手术暴露和预防性胸膜外胸腔引流（PEPCD）。尽管采取了这一预防措施，但所有发生吻合口漏的患者均出现了气胸，伴或不伴有胸腔积液。这使得12例（80%）患者需要额外插入一根引流管。当发生吻合口漏时，EA和TEF修复术后的PEPCD似乎无法预防气胸或胸腔积液。
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