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先天性食管闭锁及气管食管瘘11例
引用本文:李新宁,石群峰,伍端友,罗树友,曾甜. 先天性食管闭锁及气管食管瘘11例[J]. 实用儿科临床杂志, 2007, 22(2): 154-155
作者姓名:李新宁  石群峰  伍端友  罗树友  曾甜
作者单位:广西儿童医院,小儿外科,南宁,530003
摘    要:目的探讨先天性食管闭锁及气管食管瘘的早期诊断和治疗方法。方法先天性食管闭锁患儿11例均在入院24h内行食管泛影葡胺或碘化油造影确诊,并经胸膜外入路行食管吻合术,分析总结其诊断和治疗。结果治愈9例(81.8%),死亡2例(18.2%)。1例术后有食管吻合口狭窄,行食管扩张术后治愈;1例术后吻合口瘘,经抗感染、营养支持、充分引流后瘘口愈合。结论早期诊断、及时手术、术后护理及并发症的防治对提高先天性食管闭锁患儿的存活率有重要作用。

关 键 词:食管闭锁  诊断  治疗
文章编号:1003-515X(2007)02-0154-02
修稿时间:2006-12-11

Clinical Analysis of 11 Patients with Congenital Esophageal Atresia and Tracheoesophageal Fistula
LI Xin-ning,SHI Qun-feng,WU Duan-you,LUO Shu-you,ZENG Tian. Clinical Analysis of 11 Patients with Congenital Esophageal Atresia and Tracheoesophageal Fistula[J]. Journal of Applied Clinical Pediatrics, 2007, 22(2): 154-155
Authors:LI Xin-ning  SHI Qun-feng  WU Duan-you  LUO Shu-you  ZENG Tian
Abstract:Objective To explore early diagnosis and treatment of congenital esophageal atresia and tracheoesophageal fistula.Methods Clinical data of 11 patients with congenital esophageal atresia and tracheoesophageal fistula were analyzed retrospectively.Definite diagnoses were made for all cases in 24 hours through making an esophagus opacification with acetrezoic acid or iodinated oil.And an esophagus anastomosis outside pleura was made.Some experience of diagnosis and therapy were summarized.Results All of the 11 cases underwent operation.Among them,9 cases were cured (81.8%),and 2 cases died(18.2%).Anastomosis stenosis of esophagus was found in 1 case after operation,which was cured through esophagus dilatation.Tracheoesophageal fistula was found in another case after operation and it was cured through combined treatment including anti-infection, nutritional support and sufficient draining.Conclusion Early diagnosis and surgical treatment, postoperative care,prevention and cure of complication are very important to improve the survival rate of the patients with congenital esophageal atresia and tracheoesophageal fistula.
Keywords:esophageal atresia  diagnosis  treatment
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