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題 名 | 鈍性外傷性氣管食道瘻管:一病例報告=Blunt Traumatic Tracheoesophageal Fistula: Case Report |
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作 者 | 劉家源; 彭明仁; 林錫泉; 黃常哲; 鄭碩仁; | 書刊名 | 中華民國急救加護醫學會雜誌 |
卷 期 | 8:4 1997.12[民86.12] |
頁 次 | 頁169-175 |
分類號 | 416.215 |
關鍵詞 | 外傷性氣管食道瘻管; 胸部鈍性外傷; Traumatic tracheoesophageal fistula; Blunt chest trauma; |
語 文 | 中文(Chinese) |
中文摘要 | 過去氣管食道�硎牏j多由先天性發育異常所造成的,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(吃東西後嗆到、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�硎獊f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。 |
英文摘要 | Most tracheoesophageal fistulas are caused by congenital anomalies and only a few cases are acquired (eg. esophageal cancer, foreign body). Traumatic tracheoesophageal fistulax, expecially 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. |
本系統中英文摘要資訊取自各篇刊載內容。