Bronchospasm atresia

In principle, tracheal or bronchospasm should be treated as soon as possible, and the principle of bronchial fistula obstruction should be advanced.

Treatment of diseases: tracheoesophageal fistula

Indication

Trachea and bronchospasm.

Contraindications

1, with systemic diseases, can not tolerate surgery.

2, local infection, not suitable for surgery.

Preoperative preparation

Should start with this diagnosis, such as fasting, attracting oral and proximal esophageal mucus, heat preservation, moisturizing, parenteral nutrition support, etc. Use antibiotics if necessary. Preoperative intravenous use of cimetidine to reduce gastric acidity and continued use until the anastomotic healing has not been generally accepted. The child should be transported horizontally, laterally or in a semi-recumbent position. Accompanied by an experienced doctor or / and nurse, with oxygen, insulation and aspirator. Try not to use a respirator before surgery to prevent gas from entering the digestive tract through the fistula, causing the diaphragm to rise, aggravating breathing difficulties, and even gastric perforation.

complication

See pneumonia, atelectasis, pneumothorax, empyema, chylothorax, chest wall infection. Local anastomosis and parenteral nutrition support are required for anastomotic leakage; empyema in patients undergoing thoracic surgery develops rapidly and the prognosis is poor (due to esophageal fistula and reopening). Early dilatation (about 10 to 14 days) stenosis can begin to dilate the esophagus or local injection of hormones. Late stages may require removal of the stenotic segment. Tracheal softening causes long-term canine-like cough, and severe tracheal aortic suspension fixation is feasible. In addition, due to congenital malformation can cause lower esophageal dysfunction caused by gastroesophageal reflux esophagitis, low physical and mental development, thoracic deformity and breast asymmetry.