Wolf M T, Singh T D
AANA J. 1994 Dec;62(6):532-6.
A 20-year-old male with a history of recurrent pneumonia was diagnosed as having an N-type tracheoesophageal fistula. A general anesthetic was planned to facilitate the repair of the tracheoesophageal fistula using a left anterior cervical approach. Intraoperatively, the surgeons were unable to identify the defect after surgical exposure. To facilitate location of the tracheoesophageal fistula, a flexible pediatric fiberoptic bronchoscope was passed through an elbow adapter connected to the endotracheal tube. The scope was then visually passed via the trachea through the defect into the esophagus. The surgeons were able to palpate the fistula with the bronchoscope passed through the defect. Ease of identification allowed the tracheoesophageal fistula to be quickly repaired. At the completion of the surgery, the patient was extubated, and recovery was uneventful. The patient was discharged 48 hours postoperatively.
一名有反复肺炎病史的20岁男性被诊断为N型气管食管瘘。计划实施全身麻醉，以便采用左前颈部入路修复气管食管瘘。术中，手术暴露后外科医生无法识别缺损。为便于确定气管食管瘘的位置，将一根儿科柔性纤维支气管镜通过与气管导管相连的肘形适配器插入。然后通过直视将内镜经气管穿过缺损进入食管。外科医生能够通过穿过缺损的支气管镜触诊瘘管。易于识别使得气管食管瘘得以迅速修复。手术结束时，患者拔除气管导管，恢复顺利。患者术后48小时出院。
