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目的探讨胸腔胃-气道瘘的临床特征,以提高人们对本病的认识。方法回顾性分析20例胸腔胃-气道瘘的临床资料。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、心动过速等;实验室检查显示水、电解质紊乱,白细胞增高;胸部螺旋CT和胃腔造影显示胸腔胃-气管瘘6例、胸腔胃-隆突瘘2例、胸腔胃-左主支气管瘘10例、胸腔胃-右主支气管瘘2例。结论根据特征性临床表现和胃腔造影可以确诊胸腔胃-气道瘘。
Objective To investigate the clinical characteristics of thoracic gastric-airway fistula in order to enhance people’s understanding of the disease. Methods The clinical data of 20 cases of thoracic gastric-airway fistula were retrospectively analyzed. Results The main clinical manifestations of thoracostomach-airway fistula were burning-like irritating cough, fever, intractable lung infection, dyspnea, tachycardia, etc. Laboratory tests showed water and electrolyte imbalance and leucocytosis. Thoracic spiral CT Gastrography showed 6 cases of thoracic gastric-tracheal fistula, 2 cases of thoracic gastric-tubercle fistula, 10 cases of thoracic gastric-left main bronchial fistula and 2 cases of thoracic stomach-right main bronchial fistula. Conclusions Thoracostomach-airway fistulas can be confirmed on the basis of characteristic clinical manifestations and gastric cavity angiography.