胸腔胃-气道瘘的临床表现与螺旋CT诊断

Clinical manifestations and computed tomography diagnosis for thoracostomach-airway fistula

目的:探讨胸腔胃-气道瘘的临床与螺旋CT表现,提高人们对本病的认识．方法:回顾性分析23例具有完整临床资料的胸腔胃-气道瘘的临床表现和螺旋CT征象．结果:胸腔胃-气道瘘主要临床表现为烧灼样刺激性呛咳、发热、顽固性肺部感染、呼吸困难、心动过速、消瘦等;20例(87％)胸部螺旋CT直接显示胸腔胃．气道瘘的瘘确切位置、瘘口大小以及瘘与气道的毗邻关系,并且能够观察肺部感染和测量气管、主支气管的内径．结论:胸腔胃-气道瘘具有特征性临床表现,螺旋CT是一种无创伤性、无刺激性检查确诊手段,并为下一步制定治疗方案提供详细资料．

AIM： To analyze the clinical manifestations and spiral computed tomography （CT） signs of thoracostomach-airway fistula （TSAF）. METHODS： The clinical manifestations and spiral CT signs were analyzed in 23 patients with TSAF. RESULTS： The main clinical manifestations of TSAF were irritative choke after drinking or eating, fever, stubborn pulmonary infection, dyspnea, tachycardia and becoming thin, etc. The site and size of TSAF were shown exactly in 20 patients by spiral CT. According to spiral CT, the pulmonary infection and particular anatomic structures between the fistula and its adjoining air passage in details could be observed, and the inner diameters of the trachea and main bronchi could be measured.CONCLUSION： TSAF has distinctive clinical manifestations. CT is a non-invasive and non-stimulative examination for TSAF.