Frates M C, terMeulen D C, Yee W F
Department of Radiology, New England Medical Center Hospital, Boston, MA 02111.
Clin Pediatr (Phila). 1990 Feb;29(2):117-9. doi: 10.1177/000992289002900210.
The case of a six-year-old boy with newly diagnosed tracheoesophageal fistula of the H-type is presented. This diagnosis is usually made in the neonatal period, but since the symptoms may mimic other respiratory illnesses and radiologic diagnosis may be difficult, the condition may go undiagnosed for years. Since correction of a tracheoesophageal fistula is curative, the diagnosis should be entertained in any child with recurrent respiratory symptoms, especially when associated with meals. A brief discussion emphasizes the importance of good communication between the clinician and radiologist and of careful radiologic evaluation.
本文介绍了一名新诊断为H型气管食管瘘的六岁男孩的病例。这种诊断通常在新生儿期做出，但由于症状可能与其他呼吸道疾病相似，且放射学诊断可能困难，该病可能多年未被诊断。由于气管食管瘘的矫正具有治愈性，对于任何有反复呼吸道症状的儿童，尤其是与进食相关时，都应考虑这一诊断。简短讨论强调了临床医生与放射科医生之间良好沟通以及仔细放射学评估的重要性。
