Halaweh O, Usmani S Z, Abouasaleh R
Mcgill J Med. 2007 Jul;10(2):96-8.
A case of acquired tracheoesophageal fistula (TEF) is presented in a 44-year-old female who presented with acute respiratory failure due to bilateral aspiration pneumonia. The patient had persistent air leak while on mechanical ventilation and underwent bronchoscopy which revealed the above etiology. Histopathology showed Barrett's esophagitis. The patient underwent primary closure followed by a short course of proton pump inhibitors. There are only two prior reported cases of acquired TEF associated with Barrett's esophagitis. This condition should be taken under consideration when investigating of an explained persistent air leak in a mechanically ventilated patient.
本文报告了一例44岁女性获得性气管食管瘘（TEF）病例，该患者因双侧吸入性肺炎出现急性呼吸衰竭。患者在机械通气期间持续漏气，并接受了支气管镜检查，结果显示了上述病因。组织病理学显示巴雷特食管炎。患者接受了一期缝合，随后短期使用质子泵抑制剂。此前仅有两例关于获得性TEF合并巴雷特食管炎的报道。在调查机械通气患者不明原因的持续漏气时，应考虑到这种情况。
