Quah B S, Indudharan R, Hashim I, Simpson H
Department of Pediatrics, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian Kelantan.
J Pediatr Surg. 1998 Dec;33(12):1817-9. doi: 10.1016/s0022-3468(98)90294-9.
Tracheoesophageal fistula (TEF) without atresia is rare and usually presents with symptoms from birth. In this report, a 9-year-old boy presented with productive cough of 4 month's duration and was shown to have a right lung abscess seen on chest radiograph. His parents denied earlier respiratory symptoms or illnesses. Rigid bronchoscopy showed a fistulous opening of about 1 mm in diameter in the posterior wall of the trachea about 16 cm from the upper incisor teeth. Cannulation with a ureteral catheter demonstrated that the fistulous opening communicated with the esophageal lumen. The tracheoesophageal fistula was 1 cm long and was divided through a right supraclavicular incision. The postoperative period was uneventful, and the patient was discharged on the third postoperative day. This case demonstrated that TEF should be considered in any patient presenting with chronic respiratory problems even after a prolonged symptom-free period.
无闭锁的气管食管瘘（TEF）较为罕见，通常自出生就出现症状。在本报告中，一名9岁男孩出现持续4个月的咳痰，胸部X线片显示右肺脓肿。其父母否认早期有呼吸道症状或疾病。硬质支气管镜检查显示，在距上切牙约16 cm处的气管后壁有一个直径约1 mm的瘘口。用输尿管导管插管显示该瘘口与食管腔相通。气管食管瘘长1 cm，通过右锁骨上切口进行了分离。术后过程顺利，患者于术后第三天出院。该病例表明，即使在长期无症状期后，对于任何出现慢性呼吸问题的患者都应考虑气管食管瘘。
