Chittmittrapap S, Spitz L, Brereton R J, Kiely E M
Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
J Med Assoc Thai. 1993 Dec;76(12):683-7.
The repair of esophageal atresia, preserving the patient's own esophagus is the surgical procedure of choice. In "long-gap" type or in "tension anastomosis" cases, anastomotic complications were known to be higher than in usual cases. From this report, postoperative elective ventilation for 5 days together with neck flexion position reduced such complications with minimal subsequent complications related to the mechanical ventilation.
保留患者自身食管的食管闭锁修复术是首选的外科手术方法。在“长间隙”型或“张力吻合”病例中,已知吻合口并发症高于常规病例。根据本报告,术后进行5天的选择性通气并保持颈部屈曲位可减少此类并发症,且与机械通气相关的后续并发症最少。