Urík Milan, Tuma Jiří, Jančíková Jana, Bezděková Denisa, Urbanová Petra, Dohnalová Lucie, Papež Jan, Jimramovský Tomáš, Jouza Martin, Jabandžiev Petr
Department of Pediatric Otorhinolaryngology, University Hospital Brno and Faculty of Medicine, 48243Masaryk University Brno, Brno, Czech Republic.
Department of Pediatric Surgery, Orthopedics and Traumatology, 48243University Hospital Brno and Faculty of Medicine, Masaryk University Brno, Brno, Czech Republic.
Ear Nose Throat J. 2021 Jun 30:1455613211021580. doi: 10.1177/01455613211021580.
Esophageal atresia remains one of the most challenging congenital anomalies of the newborn. It can occur with or without tracheoesophageal fistula (TEF), and to date, there are still no universally recommended diagnostic procedures. The so-called H-type TEF is that without esophageal atresia, and its prevalence is lower than 5% of all TEFs. We present a case report of a newborn with regurgitation, vomiting, feeding problems, dyspnea, and repeated aspiration bronchopneumonia. A wide range of diagnostics procedures had been performed with negative results until we used videofluoroscopy, which revealed the H-type TEF and allowed appropriate treatment of the patient.
食管闭锁仍然是新生儿最具挑战性的先天性畸形之一。它可伴有或不伴有气管食管瘘（TEF），迄今为止，仍没有普遍推荐的诊断程序。所谓的H型TEF是指不伴有食管闭锁的情况，其患病率低于所有TEF的5%。我们报告一例新生儿病例，该患儿有反流、呕吐、喂养问题、呼吸困难及反复吸入性支气管肺炎。在使用电视荧光透视检查之前，已经进行了多种诊断程序，结果均为阴性，而电视荧光透视检查揭示了H型TEF，并使患者得到了适当治疗。
