摘要
目的 :探讨胸腔胃 气管 (主支气管 )瘘的特异性临床表现和影像学征象。方法 :回顾性分析 5例具有完整临床资料的胸腔胃 气管瘘临床、CT和口服碘水造影表现。结果 :胸腔胃 气管瘘临床表现有进食水后呛咳和平卧位呛咳 ,坐立位减轻 ,肺部感染、发热、消瘦、乏力和水、电解质紊乱等 ;口服碘水造影可显示瘘口的位置、大小以及肺部感染情况 ;CT检查可详细观察胸部情况 ,了解瘘与邻近结构的详细解剖 ,测量气管 /支气管内径。结论 :根据临床表现和食管造影可以确诊胸腔胃 气管瘘 ,CT为无创伤、无刺激性检查确诊手段 。
Aim:To analyse the clinical and imaging specific manifestations of thoracostomach tracheal(principal bronchial) fistula. Methods:We analyzed the clinical manifestations,CT and digital radiography with water soluble medium in 5 cases with thoracostomach tracheal(principal bronchial) fistula retrospectively.Results:The main clinical manifestations were choke after drinking and eating, pulmonary infection, fever,becoming thin,aridity, turbulence of water and electrolyte,et al.We could see the site, size of fistula and pulmonary infection through the digital radiography. According to CT,we could see the pulmonary infection and understand the particular anatomic stuctures between fistula and the near stucture in details and measure the diameter of the trachea and main bronchi.Conclusion:Thoracostomach tracheal(principal bronchial) fistula could be diagnosed according to clinical and digital radiography significances.CT can help fixing the method of further treatment.
出处
《郑州大学学报（医学版）》
CAS
北大核心
2003年第3期395-397,共3页
Journal of Zhengzhou University(Medical Sciences)
