Baculard A, Balquet P, Grimfeld A, Lupold M, Gruner M, Tournier G
Sem Hop. 1981;57(19-20):1005-14.
The short term prognosis of the esophageal atresia has been improved by the progress of diagnosis and surgical techniques. The long term prognosis still depends upon the occurrence of bronchopulmonary complications. Having investigated fourteen cases and a review of the literature, the authors studied the cause of these respiratory complication. Two factors seem to play an important role: the gastroesophageal reflux and the tracheomalacia. This has important therapeutical implications: treatment of the gastro-esophageal reflux and long term respiratory kinesitherapy. The authors suggest for these patients a management plan over several years.
食管闭锁的短期预后已因诊断和手术技术的进步而得到改善。长期预后仍取决于支气管肺并发症的发生。通过对14例病例的研究及文献回顾,作者探讨了这些呼吸并发症的原因。两个因素似乎起着重要作用:胃食管反流和气管软化。这具有重要的治疗意义:治疗胃食管反流和长期进行呼吸运动疗法。作者为这些患者提出了一个为期数年的管理计划。