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溃疡性气管食管瘘——长期呼吸支持的一种并发症(作者译)

[Ulcerative tracheo-esophageal fistula--a complication of longterm respiratory support (author's transl)].

作者信息

Savić B, Tholen W, Wobser E, Rommelsheim K

出版信息

Thoraxchir Vask Chir. 1977 Feb;25(1):17-9.

PMID:402709
Abstract

A case of ulcerative tracheoesophageal fistula following long term respiratory support is described. After establishing the diagnosis of TEF, an attempt at surgical repair should be made as quickly as patient's condition permits it, ideally immediately. We suggest right side thoracotomy with the resection of the fourth rib, thereby facilitating preparation of a pedicled flap which should be interponated between trachea and esophagus after the closure of the esophagus defect by sutures has been performed.

摘要

本文描述了一例长期呼吸支持后出现的溃疡性气管食管瘘病例。在确诊气管食管瘘后,应在患者病情允许的情况下尽快尝试手术修复,理想情况下应立即进行。我们建议行右侧开胸术,切除第四肋骨,从而便于制备带蒂皮瓣,在通过缝合关闭食管缺损后,将其置于气管和食管之间。

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