Roscher R, Wiedeck H, Beger H G
Chirurg. 1986 Aug;57(8):502-5.
Following amniotic embolism a severe ARDS developed in a 21 year-old women. After two months of respirator therapy a giant tracheoesophageal fistula arose. Successful conservative treatment allowed recovery and weaning from the respirator. Our two step surgical management consisted of esophageal diversion and reconstruction of the intestinal passage by retrosternal gastric tube. The advantages and disadvantages of esophageal diversion in giant tracheoesophageal fistulas are discussed.
一名21岁女性在羊水栓塞后发生了严重的急性呼吸窘迫综合征（ARDS）。经过两个月的呼吸机治疗后，出现了巨大的气管食管瘘。成功的保守治疗使患者康复并脱机。我们的两步手术治疗包括食管转流和经胸骨后胃管重建肠道通道。文中讨论了巨大气管食管瘘中食管转流的优缺点。
