Elmaleh M, Garel C, François M
Service de Radiologie, Hôpital Robert Debré, Paris.
Ann Radiol (Paris). 1994;37(7-8):488-93.
While oesophageal obstacles are responsible for regurgitation or aspiration in neonates and infants, older children present with dysphagia. Before any investigation, a buccopharyngeal infection must first be eliminated clinically. In the absence of fever, the ingestion of a foreign body or caustic substances must be considered, either in an acute context, or in a chronic context related to cicatricial stenosis. Tumour or congenital lesions are less common, whether intrinsic (stenosis, fistulas, duplications), or extrinsic (vascular malformations, mediastinal tumours). Radiological investigation is based on simple techniques: chest X-ray and barium swallow are usually sufficient to establish the aetiological diagnosis.
虽然食管梗阻是新生儿和婴儿反流或误吸的原因,但大龄儿童则表现为吞咽困难。在进行任何检查之前,必须首先在临床上排除口咽感染。在无发热的情况下,必须考虑急性或与瘢痕性狭窄相关的慢性情况下异物或腐蚀性物质的摄入。肿瘤或先天性病变较少见,无论是内在的(狭窄、瘘管、重复畸形)还是外在的(血管畸形、纵隔肿瘤)。放射学检查基于简单的技术:胸部X线和吞钡检查通常足以确立病因诊断。