[Tracheal instability in tracheo-esophageal abnormalities].

E Slany, J Holzki, A M Holschneider, M Gharib, W Hügel, U Mennicken
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引用次数: 22

Abstract

The clinical pattern of signs and symptoms of respiratory complications due to flaccid trachea has been analysed in 83 children treated in our hospital between 1983 and 1988 for tracheo-oesophageal malformations. These signs and symptoms are classified according to endoscopic findings, and are thus arranged according to various degrees of severity. Of the surviving children who were followed up and who were suffering from oesophageal atresia Vogt III B, only 5 of 57 were without a pointer towards flaccid trachea, whereas in oesophageal atresia Vogt II there were two of three. The two children with an isolated tracheo-oesophageal fistula showed abnormal findings both clinically and via endoscopy. 16 of the 20 children with very severely pronounced flaccid trachea--defined by the occurrence of life-threating apnoeas and an endoscopically identifiable tracheal collapse of more than two-thirds of the lumen--were subjected to surgery via aortosternopexy. A marked and identifiable improvement was obtained in 15 cases. Complications caused by surgery consisted of temporary phrenicus lesions in two cases.

[气管-食管异常的气管不稳定]。
分析了我院1983 ~ 1988年收治的83例气管-食管畸形患儿因气管松弛引起的呼吸系统并发症的临床症状和体征。这些体征和症状是根据内窥镜检查结果分类的,因此根据不同的严重程度进行排列。在随访的食道闭锁Vogt III B型患儿中,57例患儿中仅有5例无气管松弛指标,而食道闭锁Vogt II型患儿中,3例患儿中有2例无气管松弛指标。这两名患有孤立性气管-食管瘘的儿童在临床和内窥镜检查中均表现出异常。在20名患有非常严重的气管松弛的儿童中,有16名通过主动脉胸锁术进行了手术。气管松弛的定义是发生危及生命的呼吸暂停和内窥镜下可识别的超过三分之二管腔的气管塌陷。在15个病例中获得了明显的和可识别的改善。手术引起的并发症包括2例暂时性膈病变。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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