Bartlett R H
J Thorac Cardiovasc Surg. 1976 Jan;71(1):89-95.
An operative technique is presented for acquired tracheosophageal fistula including cervical esophagostomy, division and closure of the distal esophagus, and use of the cervical and thoracic esophageal segment as a patch to close the posterior trachea wall. Later coloesophagoplasty is used to establish gastrointestinal continuity. An external negative-pressure ventilator (Drinker-Collins iron lung) is used in combination with a conventional positive-pressure ventilator to diminish airway pressure after the tracheal repair.
本文介绍了一种治疗后天性气管食管瘘的手术技术,包括颈部食管造口术、远端食管的切断与闭合,以及利用颈段和胸段食管作为补片来闭合气管后壁。随后采用结肠食管成形术重建胃肠道连续性。气管修复术后,使用外部负压呼吸机(德林克-柯林斯铁肺)与传统正压呼吸机联合使用,以降低气道压力。