Department of Cardiothoracic Surgery, The First Affiliated Hospital of Guangzhou Medical College, Guangzhou, Guangdong Province, PR China.
Eur J Cardiothorac Surg. 2009 Sep;36(3):600-2. doi: 10.1016/j.ejcts.2009.05.047. Epub 2009 Jul 18.
Tracheo-oesophageal fistula (TEF) is an uncommon and potentially life-threatening complication of blunt chest trauma. We describe our surgical experience in a patient with huge TEF (5.6 cm in diameter) and evaluate the short-term results of surgical management by oesophageal exclusion (cervical gastro-oesophagostomy) and show that the use of oesophagus segment in situ as replacement of the posterior membranous wall of the trachea is feasible. Improving the nutrition status and controlling the lung infection were critical in the perioperation period.
气管食管瘘（TEF）是钝性胸部创伤的一种罕见且潜在危及生命的并发症。我们描述了一名患者巨大 TEF（直径 5.6 厘米）的手术经验，并通过食管排除（颈胃食管吻合术）评估了手术治疗的短期结果，表明使用原位食管段作为气管后膜的替代物是可行的。改善营养状况和控制肺部感染在围手术期至关重要。
