Department of Surgery, Tainan Municipal Hospital, Tainan, Taiwan, Republic of China.
Ann Thorac Surg. 2010 Nov;90(5):1709-11. doi: 10.1016/j.athoracsur.2010.05.058.
We describe tracheoesophageal common channel formation in a 40-year-old woman who swallowed alkaline detergent. Necrosis and fistula formation between the posterior tracheal wall and the anterior esophageal wall were visualized by panendoscopy 15 days after the injury. Urgent tracheostomy, tube hypopharyngostomy, gastrostomy, and feeding jejunostomy were performed. Tracheoesophageal common channel formed by anterior tracheal wall and posterior esophageal wall was visualized by bronchoscopy at 48 days after the injury. Progression was observed by a panendoscopy, bronchoscopy, and chest computed tomography. Sequelae included trismus, obliteration of laryngopharynx, proximal cervical esophagus, and thoracic esophagus below the carina, stomach stricture, and scarring of the scalp, neck, back, and thighs.
我们描述了一位 40 岁女性吞咽碱性清洁剂后形成的气管食管共同通道。损伤后 15 天，全内镜检查显示后气管壁与前食管壁之间发生坏死和瘘管形成。紧急行气管切开术、管咽造口术、胃造口术和空肠喂养造口术。损伤后 48 天行支气管镜检查可见前气管壁和后食管壁形成的气管食管共同通道。通过全内镜检查、支气管镜检查和胸部计算机断层扫描观察进展情况。后遗症包括牙关紧闭、喉咽、颈上段食管和隆突以下胸段食管闭塞、胃狭窄以及头皮、颈部、背部和大腿瘢痕形成。
