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一例罕见的新生儿上消化道梗阻合并H型气管食管瘘的临床见解:病例报告及文献复习

Clinical insights from a rare case of neonatal upper gastrointestinal obstruction complicated by H-Type tracheoesophageal fistula: case report and review of the literature.

作者信息

Gan YuanZhu, Wang HuiJuan, Zheng Zebing, Tang Chengyan, Zhu Daiwei, Xia Xingrong, Huang Lu, Du Qing, Liao XiLin, Liu Yuanmei, Jin Zhu

机构信息

Department of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, 563003, China.

Department of Pediatric Surgery, Guizhou Children Hospital, Zunyi, 563003, China.

出版信息

BMC Pediatr. 2025 May 22;25(1):411. doi: 10.1186/s12887-025-05740-3.

DOI:10.1186/s12887-025-05740-3
PMID:40405124
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12096494/
Abstract

We present a rare case of a 3-day-old male infant presenting with both annular pancreas (AP) and H-type esophageal atresia (H-TEF). Initially, our focus was solely on the upper gastrointestinal malformation in the child, and the misdiagnosis of a concurrent Tracheoesophageal fistula (TEF) was corrected only after a secondary surgery. Therefore, this article aims to discuss methods for accurately diagnosing this rare anomaly and performing timely surgery to improve the prognosis of the child and enhance their quality of life.

摘要

我们报告了一例罕见的3日龄男婴,同时患有环状胰腺(AP)和H型食管闭锁(H-TEF)。最初,我们仅关注患儿的上消化道畸形,且仅在二次手术后才纠正了并发气管食管瘘(TEF)的误诊。因此,本文旨在探讨准确诊断这种罕见异常并及时进行手术的方法,以改善患儿预后并提高其生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6ba/12096494/60bbf00c5e31/12887_2025_5740_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6ba/12096494/c953668d4b9b/12887_2025_5740_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6ba/12096494/60bbf00c5e31/12887_2025_5740_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6ba/12096494/c953668d4b9b/12887_2025_5740_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6ba/12096494/60bbf00c5e31/12887_2025_5740_Fig2_HTML.jpg

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Clinical insights from a rare case of neonatal upper gastrointestinal obstruction complicated by H-Type tracheoesophageal fistula: case report and review of the literature.一例罕见的新生儿上消化道梗阻合并H型气管食管瘘的临床见解:病例报告及文献复习
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Congenital H-type tracheoesophageal fistula: A multicenter review of outcomes in a rare disease.先天性H型气管食管瘘:一种罕见疾病结局的多中心综述
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Prevalence, characteristics, and survival of children with esophageal atresia: A 32-year population-based study including 1,417,724 consecutive newborns.食管闭锁患儿的患病率、特征及生存率:一项基于人群的32年研究,纳入1,417,724例连续出生的新生儿。
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