Salzer G M, Margreiter R
HNO. 1976 Jan;24(1):17-9.
Attention is drawn to the case of an oesophagotracheal fistula following prolonged intubation. A combination of physical factors, the use of unsuitable cuffs and a nasogastric feeding tube, are considered to be the cause. Surgical repair of the fistula is advised as soon as possible. While primary closure of the oesophageal defect is always possible, suture of the membraneous trachea may be impossible and a graft may be necessary to cover the defect. For this is recommended oral mucosa, which achieved very good result in this reported case.
请注意一例长时间插管后发生食管气管瘘的病例。身体因素、使用不合适的气管套囊和鼻胃饲管被认为是病因。建议尽快对瘘管进行手术修复。虽然食管缺损的一期缝合总是可行的,但膜性气管的缝合可能无法进行,可能需要移植来覆盖缺损。为此推荐使用口腔黏膜,在本报告病例中取得了很好的效果。