- 期刊
先天性食道閉鎖及氣管食道瘻之臨床觀察
Clinical Observation of Congenital Esophageal Atresia and/or Tracheoesophageal Fistula
摘要
食道閉鎖及氣管食道瘻是較少見的先天異常。此類病例的早期症狀可能爲羊水過多，唾液分泌過多，咳嗽、嗆哽及發紺。三軍總醫院小兒科經歷5例先天性食道閉鎖合併遠端氣管食道瘻，1例H形氣管食道瘻典型病例及1例食道閉鎖合併近端遠端氯管食道瘻，經放射線檢查診斷之後予以必要之臨床置及治療。7例中存活4例，死亡3例。死亡之3例曾分別使用Urografin、Dionosil造影劑診斷。其中1例僅接受胃造瘻後死於肺炎及Klebsiella pneumoniae菌血症，1例接受胃造瘻與結紮瘻管後死於肺炎及B羣鏈球菌菌血症。存活之4例係採用不透光之導管或8Fr鼻管加上0.5ml稀釋鋇劑作診斷，因此無肺部的傷害，且追蹤檢查顯示食道手術吻合處恢復正常，手術結果成功。
關鍵字
無資料並列摘要
Newborn infants with tracheoesophageal fistula laced 100% mortality prior to 1939. The mortality caused by this lesion has drastically decreased recently. During the four years period from 1979 to 1983, seven cases of congenital esophageal atresia and tracheoesophagea1 Fistula were observed in four males and three females. The initial symptoms and signs were polyhydramnios, profuse salivation, choking, cough and cyanosis. The diagnosis was established by using Urografin and Dionosil. Three cases died subsequently of pneumonia and sepsis; the other four, who were diagnosed by using an opaque catheter, or 8 Fr nasogastric tube with 0.5 ml dilute barium survived, Follow-up study of the four survivors revealed no stricture at the site of anastomosis.
延伸閱讀
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