Rothe Karin
Klinik für Kinderchirurgie, Charite Universitatsmedizin Berlin, Berlin, Deutschland.
Zentralbl Chir. 2022 Feb;147(1):83-89. doi: 10.1055/a-1657-0661. Epub 2021 Dec 6.
Oesophageal atresia is a rare congenital malformation occurring in 1 : 3000/1 : 4000 neonates. Surgical correction is always required. Perioperative management concepts depend on the type of malformation. Postoperative results are closely related to postsurgical complications. Interdisciplinary management should extend from prenatal diagnosis, birth and perinatal care to neonatal intensive care and paediatric surgical therapy with specialised pediatric anaesthesia. Other areas that should be available are logopedia, paediatric gastroenterology and paediatric pulmonology. Long-term care should include systematic aftercare and transition programs to adult medicine.
食管闭锁是一种罕见的先天性畸形，发病率为1:3000至1:4000新生儿。总是需要进行手术矫正。围手术期管理理念取决于畸形的类型。术后结果与术后并发症密切相关。跨学科管理应从产前诊断、出生及围产期护理延伸至新生儿重症监护以及采用专业小儿麻醉的小儿外科治疗。还应具备言语治疗、小儿胃肠病学和小儿肺病学等其他领域的服务。长期护理应包括系统的术后护理和向成人医学的过渡计划。
