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成功重建沟通性支气管肺前肠畸形和长段先天性气管狭窄的气管支气管:一例报告。

Successful tracheobronchial reconstruction of communicating bronchopulmonary foregut malformation and long segment congenital tracheal stenosis: a case report.

机构信息

Department of Surgery, Nagano Children's Hospital, Azumino 399-8288, Japan.

出版信息

J Pediatr Surg. 2012 Sep;47(9):E41-6. doi: 10.1016/j.jpedsurg.2012.06.009.

Abstract

Communicating bronchopulmonary foregut malformation (CBPFM) and congenital tracheal stenosis (CTS) are difficult developmental disorders especially when they are presented simultaneously in a patient. The authors report a case of a newborn boy born at 37 weeks of gestation weighing 2356 g with CBPFM (right esophageal lung) and long segment CTS. Staged surgical repair (by-force endotracheal intubation for securing the airway followed by bronchotracheal anastomosis for CBPFM, tracheostomy with handmade, length-adjustable tracheostomy tube, and slide tracheoplasty) was performed. He has been healthy without tracheostomy for 25 months after slide tracheoplasty. This is the first report of a successful tracheobronchial reconstruction for a patient with a long segment CTS and CBPFM preserving the affected lung function.

摘要

支气管肺前肠畸形(CBPFM)和先天性气管狭窄(CTS)是两种发育性疾病,尤其是当它们同时出现在一位患者身上时,情况会变得更加复杂。本文作者报告了一例胎龄 37 周、体重 2356 克的新生儿,其患有 CBPFM(右位食管肺)和长段 CTS。作者对该患儿进行了分期手术修复(首先进行强制性气管插管以确保气道通畅,随后进行支气管-气管吻合术以治疗 CBPFM,再进行气管造口术并使用手工制作、可调节长度的气管造口管,以及滑动气管成形术)。患儿在滑动气管成形术后 25 个月时,无需进行气管造口术,身体状况健康。这是首例报道的成功治疗长段 CTS 和 CBPFM 的病例,保留了受影响的肺功能。

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