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一名早产新生儿疑似气管食管瘘,拟行诊断性支气管食管镜检查,术中意外发现食管蹼。

An unexpected oesophageal web in a case of suspected tracheo-oesophageal fistula in a premature neonate posted for diagnostic broncho-oesophagoscopy.

作者信息

Kamat Chaitanya A, Rangalakshmi S, Keshavmurthy M

出版信息

J Indian Med Assoc. 2013 May;111(5):344-6.

PMID:24765698
Abstract

Oesophageal webs are thin (2-3mm) membranes of normal oesophageal tissue consisting of mucosa and submucosa. They can be congenital or acquired. Congenital oesophageal webs are very rare and usually present in adulthood. This report describes an unusual presentation of congenital web in lower oesophagus in a premature neonate with respiratory distress who was posted for diagnostic bronchoscopy and oesophagoscopy under general anaesthesia to rule out tracheo-oesophageal fistula or tracheomalacia. Endoscopic dilatation of the web was done and the baby improved after the procedure.

摘要

食管蹼是由黏膜和黏膜下层组成的正常食管组织的薄(2-3毫米)膜。它们可以是先天性的或后天获得的。先天性食管蹼非常罕见,通常在成年期出现。本报告描述了一名患有呼吸窘迫的早产新生儿下食管先天性蹼的不寻常表现,该患儿因诊断性支气管镜检查和食管镜检查在全身麻醉下进行,以排除气管食管瘘或气管软化症。对蹼进行了内镜扩张,术后婴儿病情好转。

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