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气管缺如合并食管闭锁:一例与生命不相容变异型的尸检病例报告

Tracheal agenesis with esophageal atresia: an autopsy case report of a variant incompatible with life.

作者信息

Krishnamurthy Kritika, Kochiyil Jyotsna, Poppiti Robert J

机构信息

Arkadi M. Rywlin M.D., Department of Pathology and Laboratory Medicine, Mount Sinai Medical Center, Miami Beach, FL, USA.

Mount Sinai Medical Center, Miami Beach, FL, USA.

出版信息

Fetal Pediatr Pathol. 2020 Feb;39(1):45-50. doi: 10.1080/15513815.2019.1627628. Epub 2019 Jul 17.

Abstract

: Tracheal agenesis/atresia (TA) presents with respiratory distress at birth and subsequent difficulty in endotracheal intubation. The antenatal course is complicated by polyhydramnios and premature labor. : We present a newborn baby boy with respiratory distress and unsuccessful intubation. Postmortem neck dissection revealed tracheal atresia with esophageal atresia and high tracheoesophageal fistula. : In this variant of tracheal atresia, the coexistent esophageal atresia precluded the establishment of a functional air passage. This variant that does not fall into the any of the described categories in accepted classification systems. The lack of any distal communication makes this case inoperable and fatal.

摘要

气管发育不全/闭锁(TA)在出生时表现为呼吸窘迫,随后气管插管困难。产前过程因羊水过多和早产而复杂化。我们报告一名患有呼吸窘迫且插管失败的男婴。尸检颈部解剖显示气管闭锁合并食管闭锁及高位气管食管瘘。在这种气管闭锁变体中,并存的食管闭锁妨碍了功能性气道的建立。这种变体不属于公认分类系统中所描述的任何类别。由于缺乏任何远端连通,该病例无法手术且致命。

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