Filippkin M A
Vestn Rentgenol Radiol. 1996 May-Jun(3):13-7.
Clinical and X-ray studies of 300 children aged hours to 14 years who had abnormalities of the esophagus have revealed its atresia with or without tracheoesophageal fistulas in 77 subjects, that with congenital narrowings in 21. It was proved that some varieties of atresias might be roentgenologically detected and comprehensive studies should be carried out to determine fistulas in the completely patent esophagus. Despite the age, all children with esophageal atresia with a lower fistula were found to develop catarrhal and erosive esophagitis and "corrosive" pneumonia. Hamartia and recanalization impairments of the primary intestinal tube result in congenital esophageal narrowings leading not only to obstruction, but to aspiration obstructive changes in the lung.
对300名年龄从数小时至14岁的食管异常患儿进行的临床和X线研究显示，77例患儿存在食管闭锁伴或不伴气管食管瘘，21例存在先天性狭窄。已证实某些类型的食管闭锁可通过X线检查发现，对于食管完全通畅的患儿，应进行全面检查以确定是否存在瘘管。尽管年龄不同，但所有患有低位瘘管的食管闭锁患儿均出现了卡他性和糜烂性食管炎以及“腐蚀性”肺炎。原始肠管的错构瘤和再通障碍导致先天性食管狭窄，不仅会引起梗阻，还会导致肺部出现吸入性梗阻性改变。
