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食管闭锁和气管食管瘘

最后审阅: 22 Nov 2024
最后更新: 15 Oct 2021

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 孕妇羊水过多的病史
  • 难以吞咽分泌物
  • 无法插入鼻胃管
完整详情

其他诊断因素

  • 呼吸困难
  • 咳嗽
  • 窒息
  • VACTERL 联合征
  • 发绀
完整详情

危险因素

  • 18和21三体综合征
  • 家族史
完整详情

诊断性检查

首要检查

  • 产前超声
  • 产前 MRI
  • X线胸片或腹部平片
完整详情

需考虑的检查

  • 支气管镜检查
  • 食管镜
  • 钡餐
  • 经胸超声心动图
完整详情

治疗流程

急症处理

A型

B型和D型

C型

E型

撰稿人

作者

Alexander J. Bondoc, MD

Assistant Professor

UC Department of Surgery

UC Department of Pediatrics

Cincinnati Children's Hospital

Cincinnati

OH

利益声明

AJB declares that he has no competing interests.

Aaron Garrison, MD

Assistant Professor

UC Department of Surgery

Cincinnati Children's Hospital

Cincinnati

OH

利益声明

AG declares that he has no competing interests.

Daniel von Allmen, MD

Professor-Associate

University of Cincinnati

Department of Surgery

Cincinnati

OH

利益声明

DVA is on the Board of Trustees for Cincinnati Children's Hospital Medical Center and the Medical Advisory Board for Bolder Surgical.

鸣谢

Dr Alexander J. Bondoc would like to gratefully acknowledge Dr Steven S. Rothenberg, a previous contributor to this topic.

利益声明

SSR declared that he had no competing interests.

同行评议者

Michael D. Klein, MD, FACS, FAAP

Surgeon in Chief

Professor of Surgery

Department of Pediatric Surgery

Children's Hospital of Michigan

Wayne State University School of Medicine

Detroit

MI

利益声明

MDK declares that he has no competing interests.

Timothy D. Kane, MD

Clinical Director

Division Pediatric General and Thoracic Surgery

Children's Hospital of Pittsburgh of UPMC

Pittsburgh

PA

利益声明

TDK declares that he has no competing interests.

Lewis Spitz, MBChB, PhD, FRCS, MD, FRCPCH, FAAP, FCS

Emeritus Nuffield Professor of Paediatric Surgery

Institute of Child Health

University College

London

UK

利益声明

LS declares that he has no competing interests.

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