Jansen G, Schmidt B, Mertzlufft F, Boesing T, Barthel M
Klinik für Anästhesiologie, Intensiv-, Notfall-, Transfusionsmedizin und Schmerztherapie, Evangelisches Krankenhaus Bielefeld gGmbH, Burgsteig 13, 33617, Bielefeld, Deutschland.
Klinik für Kinder- und Jugendmedizin, Evangelisches Krankenhaus Bielefeld gGmbH, Bielefeld, Deutschland.
Anaesthesist. 2016 Oct;65(10):763-767. doi: 10.1007/s00101-016-0220-1.
Tracheal agenesis (TA) is a very rare congenital malformation of unknown aetiology. It is often associated with polymalformative syndromes; the neonates commonly present a critical condition during post-natal treatment. Pathology revolves around the triad of aphonia, respiratory distress syndrome and impossibility of endotracheal intubation. In contrast to the most important differential diagnosis, i. e., congenital high airway obstruction syndrome (CHAOS), surgical airway management is also impossible due to the absence of tracheal structures. In most cases, prognosis is very poor. The case report at hand portrays the treatment of a neonate suffering from tracheal agenesis.
气管闭锁（TA）是一种病因不明的极为罕见的先天性畸形。它常与多发畸形综合征相关；新生儿在产后治疗期间通常病情危急。病理表现主要围绕失音、呼吸窘迫综合征和无法进行气管插管这三联征。与最重要的鉴别诊断，即先天性高位气道梗阻综合征（CHAOS）不同，由于不存在气管结构，手术气道管理也无法进行。在大多数情况下，预后非常差。本文的病例报告描述了一名患有气管闭锁的新生儿的治疗情况。
