Cook R C, Bush G H
Arch Dis Child. 1978 Mar;53(3):246-8. doi: 10.1136/adc.53.3.246.
A case of tracheal compression in an infant after repair of a tracheo-oesophageal fistula and oesophageal atresia is reported. Tracheopexy completely relieved the symptoms of apnoeic attacks, cyanosis, and convulsions. We suggest that tracheal compression in infants and children with repaired oesophgeal atresia can not only cause life-threatening attacks but also be responsible for recurrent chest infections. All infants and children with signs and symptoms of tracheal compression as shown by the presence of a barking type of cough, recurrent chest infections, or persistent mild respiratory symptoms should be referred for thorough investigation of the tracheobronchial tree.
报告了一例食管闭锁及气管食管瘘修复术后婴儿发生气管受压的病例。气管固定术完全缓解了呼吸暂停发作、青紫和惊厥症状。我们认为,食管闭锁修复术后的婴幼儿气管受压不仅可导致危及生命的发作,还可能是反复发生胸部感染的原因。所有出现犬吠样咳嗽、反复胸部感染或持续轻度呼吸道症状等气管受压体征和症状的婴幼儿,均应转诊接受气管支气管树的全面检查。