Moremi-Letsoalo M D, van As A B Sebastian, Tiva N G, Nchabeleng R M, Ramanyimi G, Risenga S
Department of Paediatrics and Child Health, School of Medicine, Faculty of Health Sciences, University of Limpopo, Pietersburg Hospital, South Africa.
Department of Surgery, School of Medicine, Faculty of Health Sciences, University of Limpopo, South Africa.
Afr J Thorac Crit Care Med. 2022 Dec 19;28(4). doi: 10.7196/AJTCCM.2022.v28i4.203. eCollection 2022.
Congenital isolated 'H-type' tracheoesophageal fistula (TOF) is a rare disorder which is difficult to diagnose. Clinical presentation is characterised by a triad consisting of paroxysmal coughing and cyanosis during feeds; recurrent chest infections and failure to thrive; and abdominal distention secondary to gaseous loading of the bowel. It is often difficult to diagnose 'H-type' TOF because the continuity of the oesophagus is not interrupted. The diagnosis is often missed or delayed, leading to complications such as chronic lung disease and failure to thrive.
先天性孤立性“H型”气管食管瘘（TOF）是一种罕见且难以诊断的疾病。临床表现的特征为三联征，包括喂食期间阵发性咳嗽和发绀；反复肺部感染和生长发育不良；以及因肠道气体积聚继发的腹胀。由于食管的连续性未中断，“H型”TOF通常难以诊断。该疾病的诊断常常被漏诊或延误，从而导致诸如慢性肺病和生长发育不良等并发症。
