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饲管进入胸腔:新生儿咽部和食管创伤的影像学征象。

Passage of feeding catheters into the pleural space: a radiographic sign of trauma to the pharynx and esophagus in the newborn.

作者信息

Kassner E G, Baumstark A, Balsam D, Haller J O

出版信息

AJR Am J Roentgenol. 1977 Jan;128(1):19-22. doi: 10.2214/ajr.128.1.19.

DOI:10.2214/ajr.128.1.19
PMID:401580
Abstract

Although rarely recognized, traumatic pharyngeal and cervical esophageal pseudodiverticula are probably not infrequent in newborns who have undergone vigorous oropharyngeal suctioning and endotracheal intubation. This report describes four premature infants with clinically unsuspected retroesophageal false passages incidentally discovered on chest radiographs. Differentiation of pseudodiverticula from spontaneous rupture of the middle or distal esophagus can be achieved by careful inspection of the course of the feeding catheter in frontal and lateral projections and by partial withdrawal of the catheter to permit injection of the retroesophageal false passage with a small volume of water-soluble contrast material.

摘要

尽管很少被认识到,但在经历过强力口咽吸引和气管插管的新生儿中,创伤性咽和颈段食管假性憩室可能并不少见。本报告描述了4例早产儿,其食管后假通道在胸部X线片上偶然发现,临床上未被怀疑。通过在正位和侧位投照中仔细观察喂养导管的走行,以及部分撤回导管以便用少量水溶性造影剂注入食管后假通道,可实现假性憩室与食管中、远端自发性破裂的鉴别。

相似文献

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Passage of feeding catheters into the pleural space: a radiographic sign of trauma to the pharynx and esophagus in the newborn.饲管进入胸腔:新生儿咽部和食管创伤的影像学征象。
AJR Am J Roentgenol. 1977 Jan;128(1):19-22. doi: 10.2214/ajr.128.1.19.
2
Traumatic perforation of the pharynx in the newborn.新生儿咽部创伤性穿孔
Pediatrics. 1977 Jun;59 Suppl(6 Pt 2):1019-22.
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Traumatic pharyngeal pseudodiverticulum in the newborn infant.新生儿创伤性咽假性憩室
J Pediatr. 1973 Mar;82(3):483-5. doi: 10.1016/s0022-3476(73)80126-x.
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Management of esophageal and pharyngeal perforation in the newborn infant.新生儿食管和咽穿孔的管理
Pediatrics. 1982 Oct;70(4):592-6.
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Esophageal perforations in premature infants and comments on the diagnosis.早产儿食管穿孔及诊断相关评论
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Traumatic retropharyngeal emphysema as a cause for severe respiratory distress in a newborn.创伤性咽后气肿作为新生儿严重呼吸窘迫的一个病因
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Perforation of the pharynx in the newborn: a condition mimicking esophageal atresia.新生儿咽穿孔:一种酷似食管闭锁的病症。
Can Med Assoc J. 1971 May 8;104(9):785-7.
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Traumatic pseudodiverticulums of the pharynx in newborn infants.新生儿咽部创伤性假性憩室
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Complications of nasogastric intubation in horses: nine cases (1987-1989).马鼻胃管插管并发症:9例(1987 - 1989年)
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[The feeding of patients with gaping defects of the pharyngeal wall and the cervical portion of the esophagus before and after plastic reconstruction].[咽壁及食管颈部巨大缺损患者在整形重建前后的喂养情况]
Vestn Otorinolaringol. 1967 Mar-Apr;29(2):53-6.

引用本文的文献

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Imaging findings of iatrogenic pharyngeal and esophageal injuries in neonates.新生儿医源性咽喉及食管损伤的影像学表现
Pediatr Radiol. 2018 Nov;48(12):1806-1813. doi: 10.1007/s00247-018-4208-7. Epub 2018 Jul 27.
2
Preoperative laryngotracheobronchoscopy in infants with esophageal atresia: why is it not routine?食管闭锁婴儿的术前喉气管支气管镜检查:为何未成为常规操作?
Pediatr Surg Int. 2018 Jan;34(1):3-7. doi: 10.1007/s00383-017-4194-0. Epub 2017 Oct 11.
3
Hypopharyngeal perforation following minor trauma: a case report and literature review.
轻微创伤后下咽穿孔:一例报告及文献综述
Emerg Med J. 2006 Jan;23(1):e7. doi: 10.1136/emj.2003.012187.
4
Esophageal perforation in the newborn.新生儿食管穿孔
Eur J Pediatr. 1981 Mar;136(1):113-5. doi: 10.1007/BF00441724.
5
Iatrogenic intubation injuries of the upper gastrointestinal tract in adults.成人上消化道医源性插管损伤
Gastrointest Radiol. 1980 Feb 1;5(1):1-10. doi: 10.1007/BF01888590.
6
Iatrogenic causes of large pleural fluid collections in the premature infant: ultrasonic and radiographic findings.早产儿大量胸腔积液的医源性病因:超声和影像学表现
Pediatr Radiol. 1987;17(2):104-8. doi: 10.1007/BF02388084.
7
Tracheopleuropulmonary injuries following enteral tube insertion.肠内插管后气管胸膜肺损伤
J Natl Med Assoc. 1989 Mar;81(3):275-81.
8
Traumatic pharyngeal pseudodiverticulum in neonates and infants. Two case reports and review of the literature.新生儿和婴儿创伤性咽假性憩室。两例病例报告并文献复习。
Pediatr Radiol. 1979 Apr 19;8(2):65-9. doi: 10.1007/BF00973993.