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一名新冠肺炎患者出现气管食管瘘。

Tracheoesophageal fistula in a COVID-19 patient.

作者信息

Pereira Cristiana, Silva Rafael, Campello Glória C, Moura Fernando

机构信息

Department of Anesthesiology, Centro Hospitalar do Tâmega e Sousa, Penafiel, Portugal.

Department of Intensive Care, Centro Hospitalar do Tâmega e Sousa, Penafiel, Portugal.

出版信息

Saudi J Anaesth. 2021 Oct-Dec;15(4):447-449. doi: 10.4103/sja.sja_294_21. Epub 2021 Sep 2.

DOI:10.4103/sja.sja_294_21
PMID:34658736
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8477781/
Abstract

The number of patients requiring admission in intensive care units and prolonged invasive mechanical ventilation (MV) has increased significantly during the coronavirus disease 2019 (COVID-19) pandemic. Tracheoesophageal fistula (TEF) following prolonged invasive MV is a rare condition. Numerous COVID-19 pathophysiological mechanisms and treatment-related effects might support the increase of tracheal complications in this subgroup of patients. We report a case of TEF in a COVID-19 patient submitted to prolonged invasive MV and discuss its diagnosis and management.

摘要

在2019年冠状病毒病（COVID-19）大流行期间，需要入住重症监护病房并接受长时间有创机械通气（MV）的患者数量显著增加。长时间有创机械通气后发生气管食管瘘（TEF）是一种罕见的情况。众多COVID-19的病理生理机制和与治疗相关的影响可能促使该亚组患者气管并发症增加。我们报告一例接受长时间有创机械通气的COVID-19患者发生气管食管瘘的病例，并讨论其诊断和管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93dd/8477781/ab48a19021e7/SJA-15-447-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93dd/8477781/de4dd72a6288/SJA-15-447-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93dd/8477781/ff17654e6d0c/SJA-15-447-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93dd/8477781/ab48a19021e7/SJA-15-447-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93dd/8477781/de4dd72a6288/SJA-15-447-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93dd/8477781/ff17654e6d0c/SJA-15-447-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93dd/8477781/ab48a19021e7/SJA-15-447-g003.jpg

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本文引用的文献

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The COVID-19 pandemic: a global health crisis.新型冠状病毒肺炎大流行：全球卫生危机。
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Histopathology and ultrastructural findings of fatal COVID-19 infections in Washington State: a case series.
新型冠状病毒肺炎感染过程中并发气管食管瘘和胸腔积脓——一例报告
Clin Case Rep. 2022 Oct 3;10(10):e6400. doi: 10.1002/ccr3.6400. eCollection 2022 Oct.
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Analysis of the Application Value of Different Esophagography Techniques in the Diagnosis of H-Type Tracheoesophageal Fistula in Neonates.不同食管造影技术在新生儿H型气管食管瘘诊断中的应用价值分析
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Long-term intubation and high rate of tracheostomy in COVID-19 patients might determine an unprecedented increase of airway stenoses: a call to action from the European Laryngological Society.在 COVID-19 患者中，长期插管和高气管切开率可能导致气道狭窄前所未有地增加：这是欧洲喉科学会发出的行动呼吁。
Eur Arch Otorhinolaryngol. 2021 Jan;278(1):1-7. doi: 10.1007/s00405-020-06112-6. Epub 2020 Jun 6.
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