McGinnis H D, Blickman J G
Department of Radiology, Massachusetts General Hospital, Boston 02114.
Pediatr Radiol. 1993;23(5):386-7. doi: 10.1007/BF02011967.
A neonate presented for an esophageal atresia repair and developed respiratory distress in the immediate post-operative period. The initial conventional chest radiographs suggested that there was a right sided pneumothorax; however, this did not resolve, even after the placement of two chest tubes. A CT examination suggested that the findings were due to hyperinflation of the right upper lobe. Thoracoscopy was performed and revealed a complex pneumothorax composed of bubbly mucous from a post-operative pleuro-esophageal fistula.
一名新生儿因食管闭锁修复术前来就诊，术后即刻出现呼吸窘迫。最初的常规胸部X光片显示右侧气胸；然而，即使放置了两根胸管，气胸仍未缓解。CT检查提示，这些表现是由于右上叶过度充气所致。随后进行了胸腔镜检查，发现是由术后胸膜食管瘘产生的气泡状黏液组成的复杂性气胸。
