Danton M H, McMahon J, McGuigan J, Gibbons J R
Dept of Cardiothoracic Surgery, Royal Victoria Hospital, Belfast, Northern Ireland, UK.
Eur Respir J. 1993 Oct;6(9):1412-4.
Congenital oesophageal respiratory tract fistula presenting in adult life is rare. A tracheo-oesophageal and a broncho-oesophageal fistula presenting in a 22 year old female and 68 year male, respectively, are described. In both, symptoms of chronic recurrent pulmonary suppuration were initially attributed to alternative aetiologies, resulting in diagnostic delay and inappropriate management. Correct diagnosis was established by flexible bronchoscopy and oesophageal contrast studies. Surgical division of fistulae resulted in complete symptom resolution.
成人期出现的先天性食管呼吸道瘘很少见。本文分别描述了一名22岁女性和一名68岁男性所患的气管食管瘘和支气管食管瘘。在这两个病例中，慢性复发性肺化脓的症状最初都归因于其他病因，导致诊断延迟和处理不当。通过纤维支气管镜检查和食管造影研究确诊。手术切断瘘管后症状完全缓解。
