颈部食管瘘1例  

One cases of cervical esophageal fistula

作　　者：胡连德[1] 宁亚萍[1] 任树北[1] 

机构地区：[1]鞍山市中心医院耳鼻咽喉科,辽宁鞍山114300

出　　处：《临床耳鼻咽喉头颈外科杂志》2014年第22期1803-1804,共2页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：患者,男,34岁,以交通肇事、颈部外伤后9h入院,当即出现颈部疼痛,活动受限,四肢运动感觉障碍,不能站立及行走,大小便失禁。于当地医院治疗后无好转,转入我院治疗。体检：双侧三角肌肌力Ⅱ级,左侧肱Ⅱ、Ⅲ头肌肌力0级,右侧肱Ⅱ头肌肌力Ⅱ级,右侧肱Ⅲ头肌肌力0级,双手内在肌肌力0级,双下肢各级肌力0级,胸骨柄至剑突部感觉减退,剑突以下平面感觉消失,双侧肱Ⅱ、Ⅲ头肌反射未引出,双侧膝踝反射未引出,Twenty days after the operation of anterior cervical decompression fusion with internal fixation,the fistula was found at the lower end of right neck incision with purulent secretion,the intumescent mucosa was founded at the posterior wall of the esophagus,down about 5cm of the oesophagostomum.The metal plate sample exposed under the intumescent mucosa.The diagnosed was＂neck esophageal fistula＂.

关 键 词：食管瘘 胸锁乳突肌皮瓣 

分 类 号：R562.1[医药卫生—呼吸系统]