Pillsbury H C, Fischer N D
Arch Otolaryngol. 1977 Dec;103(12):735-7. doi: 10.1001/archotol.1977.00780290071010.
Congenital posterior clefts between the laryngotrachea and the esophagus have rarely been encountered as evidenced by only 30 cases reported in the world literature. Of these, patients in nine have survived. We present another patient with this condition who was successfully treated. Important aspects in evaluation, including the need for an experienced endoscopist and cineradiography, are discussed. Postoperative management using a continuous infusion pump to administer formula per gastrostomy prevents gastric distension and emesis that lead to stress on the closure. This should be a basic consideration in the management of these patients.
喉气管与食管之间的先天性后裂极为罕见，世界文献中仅报道了30例。其中，9例患者存活。我们报告了另一例成功接受治疗的此类患者。文中讨论了评估的重要方面，包括需要经验丰富的内镜医师和动态放射成像。术后通过胃造口使用连续输液泵给予配方奶进行管理，可防止胃扩张和呕吐，以免对创口造成压力。这应是此类患者管理中的基本考量。
