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食管闭锁合并高位近端气管食管瘘的延迟诊断及胸骨柄下气管固定术治疗气管软化症的新方法

Delayed diagnosis of high proximal tracheoesophageal fistula in esophageal atresia and a novel approach to the treatment of tracheomalacia by submanubrial tracheopexy.

作者信息

Bjornson Candice, Brindle Mary, Bailey Ja Michelle, Mitchell Ian, Soles Melissa

机构信息

Division of Hospital Pediatrics, The University of Calgary, Calgary, AB Canada ; Alberta Children's Hospital, Room C3-208, 2888 Shaganappi Trail NW, Calgary, AB T2B 6A8 Canada.

Alberta Children's Hospital, Room C3-208, 2888 Shaganappi Trail NW, Calgary, AB T2B 6A8 Canada.

出版信息

Springerplus. 2014 Feb 27;3:113. doi: 10.1186/2193-1801-3-113. eCollection 2014.

DOI:10.1186/2193-1801-3-113
PMID:24634808
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3951653/
Abstract

An infant with esophageal atresia (EA) had delayed diagnosis of proximal tracheoesophageal fistula (TEF) and severe tracheomalacia. We recommend bronchoscopy via laryngeal mask or rigid bronchoscopy to rule out associated TEF in infants diagnosed with esophageal atresia, as flexible bronchoscopy via endotracheal tube may not provide complete visualization of the trachea. We also describe a novel cervical approach to tracheopexy via neck incision for treatment of associated severe tracheomalacia in this infant.

摘要

一名患有食管闭锁（EA）的婴儿近端气管食管瘘（TEF）诊断延迟且伴有严重气管软化。我们建议对诊断为食管闭锁的婴儿通过喉罩进行支气管镜检查或硬质支气管镜检查以排除相关的气管食管瘘，因为经气管插管的柔性支气管镜检查可能无法完整观察气管。我们还描述了一种通过颈部切口进行气管固定术的新型颈部入路，用于治疗该婴儿相关的严重气管软化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6152/3951653/5071e4643be4/40064_2013_863_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6152/3951653/5071e4643be4/40064_2013_863_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6152/3951653/5071e4643be4/40064_2013_863_Fig1_HTML.jpg

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本文引用的文献

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Aortopexy for the treatment of tracheomalacia in children: review of the literature.主动脉固定术治疗儿童气管软化症：文献复习。
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Esophageal atresia without distal tracheoesophageal fistula: high incidence of proximal fistula.食管闭锁无远端气管食管瘘：近端瘘发生率高。
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Surgical treatment of tracheomalacia by bronchoscopic monitored aortopexy in infants and children.婴幼儿和儿童气管软化症的支气管镜监测下主动脉固定术的外科治疗
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