先天性食道閉塞及氣管食道漏管症之一例

Congenital Esophageal Atresia with Tracheo-esophageal Fistula, a Case Report

郭哲舟(Cho-Chou Kuo)

《Acta Paediatrica Sinica》 3卷3期 (1962/09) Pp. 122-126

摘要

本文介紹具有先天性食道閉塞及氣管漏管症之一足月出生女嬰，生前以充填Barium之胃管通入食道，在透視下發現食道半節的閉塞，認爲第一類：最常見的佔70至80%，是食道上半因爲胃腸內有空氣之存在，斷定食道下半節和氣管有交通。凖備手術時死亡。死亡後以Barium直接注入氣管而發現氣管叉處爲與食道之交通部位。本病例經過解剖證實之。本病例爲先天性食道閉塞症中最常見的一類。

並列摘要

A case of congenital esophageal atresia with tracheo-esophageal fistula in a full term girl baby is presented. It was diagnosed when the patient was still alive by fluoroscopic examination with a barium-filled Nelaton catheter which failed to enter the stomach and kinked at the level of the second thoracic vertebra. The air in the stomach and intestine assured us the presence of the tracheo-esophageal fistula. After the diagnosis was established she was sent to the operating room for emergency operation, but she died of suffocation on the way of transportation to the operation room. After the death of the patient fluoroscopic examination was undertaken. Barium was introduced with a nasal tube and the blind upper esophageal segmeat was demonstrated. By injection of barium into the trachea, the lower segment of the esophagus which joined the trachea at just above its bifurcation was also demonstrated. The above mentioned findings were confirmed by autopsy.