Soundaravalli B, Thomas J, Sundar R, Chandrasekar P, Krishnan E, Muralidharan S
Department of Anaesthesiology and Cardiothoracic Surgery, G. Kuppuswamy Naidu Memorial Hospital, Pappanaickenpalayam, Coimbatore, India.
Ann Card Anaesth. 1998 Jan;1(1):56-9.
Acquired non malignant tracheo-oesophageal fistula is an uncommon complication of endotracheal intubation and tracheostomy. Patients are usually diagnosed while on mechanical ventilation. The rationale of management is to prevent pulmonary contamination, maintain nutrition and achieve spontaneous ventilation prior to surgical repair. Cautious management of the airway is required during tracheal reconstruction. We present a case of non malignant tracheo-oesophageal fistula in which repair was achieved by primary closure of the tracheal and oesophageal defects.
获得性非恶性气管食管瘘是气管插管和气管切开术的一种罕见并发症。患者通常在机械通气期间被诊断出来。治疗的基本原理是防止肺部污染，维持营养状况，并在手术修复前实现自主通气。气管重建期间需要谨慎管理气道。我们报告一例非恶性气管食管瘘病例，该病例通过一期缝合气管和食管缺损实现了修复。
