鼻胃管经气管食管瘘进入胃内：一种罕见情况。
Passage of nasogastric tube through tracheo-esophageal fistula into stomach: A rare event.
作者信息
Kamble Ravikiran Shankar, Gupta Rahulkumar, Gupta Abhaya, Kothari Paras, Dikshit K Vishesh, Kesan Krishnakumar, Mudkhedkar Kedar
机构信息
Ravikiran Shankar Kamble, Rahulkumar Gupta, Abhaya Gupta, Paras Kothari, K Vishesh Dikshit, Krishnakumar Kesan, Kedar Mudkhedkar, Department of Pediatric Surgery, Lokamany Tilak Municipal Medical College and Government Hospital, Maharashtra 400022, India.
出版信息
World J Clin Cases. 2014 Jul 16;2(7):309-10. doi: 10.12998/wjcc.v2.i7.309.
Esophageal atresia with tracheo-oesophageal fistula (TEF) occurs in 1 in 3500 live births. Anorectal malformation is found to be associated with 14% of TEF. Esophageal atresia with TEF is a congenital anomaly which classically presents as excessive frothing from the mouth and respiratory distress. Rarely gastric position of the feeding tube in a case of TEF can be obtained delaying the diagnosis of TEF. We had an uncommon situation where a nasogastric tube reached the stomach through the trachea and tracheo-esophageal fistula, leading to misdiagnosis in a case of esophageal atresia with tracheoesophageal fistula. By using a stiff rubber catheter instead of a soft feeding tube for the diagnosis of esophageal atresia and TEF, such situation can be avoided.
食管闭锁合并气管食管瘘（TEF）在每3500例活产中出现1例。发现肛门直肠畸形与14%的TEF有关。食管闭锁合并TEF是一种先天性异常，典型表现为口腔过度泡沫和呼吸窘迫。在TEF病例中，饲管罕见地进入胃内，可导致TEF诊断延迟。我们遇到了一种不常见的情况，即一根鼻胃管通过气管和气管食管瘘进入胃内，导致一例食管闭锁合并气管食管瘘病例误诊。通过使用硬橡胶导管而非软饲管来诊断食管闭锁和TEF，可避免这种情况。
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