鈍性外傷性氣管食道瘻管：一病例報告

Blunt Traumatic Tracheoesophageal Fistula: Case Report

劉家源(Chia-Yuan Liu) ； 彭明仁(Ming-Jen Peng) ； 林錫泉(Shee-Chan Lin) ； 黃常哲(Chang-Jer Hung) ； 鄭碩仁(Sho-Jen Cheng)

《中華民國急救加護醫學會雜誌》 8卷4期 (1997/12) Pp. 169-175

https://doi.org/10.30018/JECCM.199712.0004

摘要

過去氣管食道瘻管大多由先天性姿育異常所造成的，只有少數病例是後天形成（如食道癌、異物）。外傷（尤其鈍性外傷）所造成之病例更是罕見。典型症狀（吃束西後嗆到、持續的吸入性肺炎）是診斷最重要的線索。水溶性鋇劑的上消化道攝影術是診斷此疾病最敏感的工具。一旦病患出現感染症狀時，手術治療是唯一的選擇。我們報告一名26歲男性病患因鈍性胸部外傷造成之氣管食道瘻管病例，並以手術方式成功治療此病患。截至1997年為止，文獻中關於此類型病例只有61例，茲將相關文獻資料整理在本文中討論。

關鍵字

外傷性氣管食道瘻管 ； 胸部鈍性外傷

並列摘要

Most tracheoesophageal fistulas are caused by congenital anomalies and only a few cases are acquired (eg. esophageal cancer, foreign body). Traumatic tracheoesophageal fistulas, especially secondary to blunt trauma are extremely rare. Classically manifestations include choking after eating and persistent aspiration pneumonia, and are the most reliable clues to diagnosis. Upper gastrointestinal series with water-soluble contrast medium is the most sensitive diagnostic tool. Surgery is the only choice of treatment if aspiration pneumonia, mediastinitis or other infections occur. We report a 26 year-old man with a traumatic tracheoesophageal fistula after a traffic accident and describe the successful surgical repair. Up to 1997, only 61 cases have be described in English literature.

並列關鍵字

traumatic tracheoesophageal fistula ； blunt chest trauma