Vasquez R E, Landay M, Kilman W J, Estrera A, Schreiber T
Department of Radiology, University of Texas Southwestern Medical Center, Dallas 75235.
Radiology. 1988 Apr;167(1):93-6. doi: 10.1148/radiology.167.1.3347754.
Four benign esophagorespiratory fistulas, three secondary to granulomatous disease and one presumed to be congenital, have been diagnosed in adults at the authors' institution in the past year. The patients had symptoms of chronic or recurrent pulmonary infections, and two experienced coughing after swallowing. Chest radiographs demonstrated refractory consolidation, with or without cavitation and frequently accompanied by an air-distended esophagus. Barium studies were diagnostic. All patients responded well to antibiotic and surgical therapy.
在过去一年里，作者所在机构诊断出4例成人良性食管气管瘘，其中3例继发于肉芽肿性疾病，1例推测为先天性。患者有慢性或反复肺部感染症状，2例在吞咽后出现咳嗽。胸部X线片显示难治性实变，有或无空洞形成，且常伴有食管扩张。钡餐检查具有诊断价值。所有患者对抗生素和手术治疗反应良好。
