Hassenstein J, Schmitt-Köppler A
Prakt Anaesth. 1977 Jun;12(3):234-6.
A case of tracheo-oesophageal fistula is reported which developed in the course of 4 1/2-weeks' mechanical ventilation (via a naso-tracheal tube) in a severely injured patient with shock lung syndrome. The patient was fed partly via a nasal gastric tube and partly parenterally. The fistula developed despite careful nursing, intermittent blocking of the cuff, weekly changes of the endotracheal tube and inspection of the epiglottic space. As the fistula failed to close spontaneously closure was effected by surgery. With the available types of endotracheal tubes damage to the tracheal structures cannot apparently be entirely prevented.
报道了一例气管食管瘘病例，该病例发生在一名患有休克肺综合征的重伤患者接受4.5周机械通气（通过鼻气管插管）期间。患者部分通过鼻胃管喂食，部分通过胃肠外营养。尽管护理仔细、间断封堵气囊、每周更换气管内插管并检查会厌间隙，但仍发生了瘘管。由于瘘管未能自行闭合，通过手术实现了闭合。对于现有的气管内插管类型，显然无法完全防止气管结构受损。
