Lin Wei-Yang, Chiu Yu-Chi
Division of Thoracic Surgery, Department of Surgery, Taipei-Veterans General Hospital Hsin-Chu branch Zhudong, Taiwan.
Division of Chest Medicine, Department of Medicine, Taipei-Veterans General Hospital Hsin-Chu Branch Zhudong, Taiwan.
Respirol Case Rep. 2014 Mar;2(1):27-9. doi: 10.1002/rcr2.38. Epub 2013 Dec 19.
Acquired nonmalignant tracheoesophageal fistula (TEF) is a rare clinical condition with multiple etiologies, although post-intubation injury is the most common cause. TEFs can be fatal if left untreated due to devastating pulmonary complications caused by tracheobronchial contamination and poor nutrition. Herein, we present a case of complete healing of a post-intubation TEF under conservative treatment in a ventilator-dependent patient, and review previous studies regarding the treatment of acquired nonmalignant TEFs.
获得性非恶性气管食管瘘(TEF)是一种病因多样的罕见临床病症,尽管插管后损伤是最常见的病因。如果不进行治疗,由于气管支气管污染和营养不良导致的严重肺部并发症,TEF可能会致命。在此,我们报告一例依赖呼吸机的患者在保守治疗下插管后TEF完全愈合的病例,并回顾以往关于获得性非恶性TEF治疗的研究。