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食管闭锁:胃造瘘管移入支气管。

Esophageal Atresia: Migration of the gastrostomy tube into the bronchus.

作者信息

Hosseini Seyed Mohammad Vahid, Banani Seyed Abbas, Sabet Babak, Zeraatian Sam, Razmi Tannaz, Banani Seyed Javad

机构信息

Department of Pediatric Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

J Indian Assoc Pediatr Surg. 2008 Jul;13(3):118-9. doi: 10.4103/0971-9261.43823.

Abstract

A 2-day-old baby boy, 38 weeks gestation, weight 2000 g was brought due to hypersalivation and imperforate anus with gasless abdomen on plain X-ray. He underwent a gastrostomy tube insertion and colostomy. In contrast study of the stomach, on the 5th postoperative day, the dye spilled into the tracheo bronchial tree and the catheter was seen, entering the right main bronchus. The patient underwent right thoracotomy and the presence of fistula and catheter were confirmed. The fistula and distal esophagus were closed and fixed to the prevertebral fascia because of a long gap. He is under follow-up and recieving home care for a later delayed primary anastomosis.

摘要

一名孕38周、体重2000克的2日龄男婴因流涎过多、肛门闭锁且腹部平片显示无气腹而入院。他接受了胃造瘘管插入术和结肠造口术。术后第5天进行的胃部造影检查中,造影剂漏入气管支气管树,且可见导管进入右主支气管。患者接受了右开胸手术,证实存在瘘管和导管。由于间隙较长,瘘管和远端食管被闭合并固定于椎前筋膜。他正在接受随访,并在家中接受后期延迟一期吻合术的护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8147/2788459/737ee90b15f1/JIAPS-13-118-g001.jpg

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