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食管闭锁与上气道病理

Esophageal Atresia and Upper Airway Pathology.

作者信息

van der Zee David C, van Herwaarden Maud Y A, Hulsker Caroline C C, Witvliet Marieke J, Tytgat Stefaan H A

机构信息

Department of Pediatric Surgery, University Medical Center Utrecht, KE. 04.140.5, PO Box 85090, Utrecht 3508 AB, The Netherlands.

Department of Pediatric Surgery, University Medical Center Utrecht, KE. 04.140.5, PO Box 85090, Utrecht 3508 AB, The Netherlands.

出版信息

Clin Perinatol. 2017 Dec;44(4):753-762. doi: 10.1016/j.clp.2017.08.002. Epub 2017 Sep 28.

Abstract

Esophageal atresia is an anomaly with frequently occurring sequelae requiring lifelong management and follow-up. Because of the complex issues that can be encountered, patients with esophageal atresia preferably should be managed in centers of expertise that have the ability to deal with all types of anomalies and sequelae and can perform rigorous lifelong follow-up. Tracheomalacia is an often-occurring concurrent anomaly that may cause acute life-threatening events and may warrant immediate management. In the past, major thoracotomies were necessary to carry out the aortopexy. Nowadays, aortopexy and posterior tracheopexy can both be performed thoracoscopically with quick recovery.

摘要

食管闭锁是一种常伴有后遗症的先天性畸形,需要终身管理和随访。由于可能会遇到复杂问题,食管闭锁患者最好在具备处理各类畸形和后遗症能力且能进行严格终身随访的专业中心接受治疗。气管软化是一种常见的并发畸形,可能导致危及生命的急性事件,可能需要立即处理。过去,进行主动脉固定术需要做大开胸手术。如今,主动脉固定术和后路气管固定术都可以通过胸腔镜进行,恢复快。

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