Treatment of esophageal atresia

After hospitalization in children, doctors based on body weight in children, there is no pneumonia, has no merge and other \' severity \' group, a group of relatively light condition b and heavier, c prognosis of the serious and the worst. Treatment includes four phases:

First stage for preoperative preparation, usually in the hospital after a few hours to complete, including fasting and attract the proximal esophagus and oral mucous, thermal, moisture, parenteral nutrition support and more. Some people advocated intravenous use of benzonitrile microphones quack, to reduce the acidity of gastric juice, and continuing until the anastomotic healing. Strictly breathing management should begin as soon as possible, this is one important condition for success or failure of operation. Contents ① special care, the best single isolation to prevent cross-infection. Flat or lateral position time turning over, shot back, and sputum. Send sample of bacteria culture and drug sensitive test; ② repeated blood gas analysis to monitor respiratory function; ③ appropriate application of respiratory therapy methods, such as raising the temperature and humidity and ultrasonic atomization oxygen; ④ complicated by pneumonia should be strictly controlled infusion volume and speed, the use of antibiotics. Respiratory management aims at reducing pulmonary complications, improve tolerance to respiratory function, ready for endotracheal anesthesia and anastomosis of the esophagus, and for the recovery of postoperative respiratory function create conditions improved absorption and pneumonia.

Second phase of operation, according to the type and severity, hospital technology and equipment conditions surgical methods, including the first-stage anastomosis and staging surgery. Common type ⅲ General by the right lateral Thoracotomy after implementation phase of the anastomosis, pleural lay end-end anastomosis of the esophagus and breaking of esophago-tracheal fistula closure. This stage is the key to treatment.

Phase III for postoperative care, usually 3-5 postoperative days. Content management with preoperative preparation stages, respiratory management cannot relax, static and some antibiotics, intravenous infusion should be low, parenteral nutritional support recovery of wound healing and pneumonia. Common complications with pneumonia, atelectasis, pneumothorax, anastomotic fistula, empyema, Chylous chest, chest infection, and so on.

Phase IV for the recovery period, Transesophageal di4-6 days after General angiography confirmed after full healing of anastomotic can breast-feed. Early postoperative (1-14 days) of esophageal stenosis (General esophageal anastomosis), to start the dilated esophageal or local injection of hormones. For 7 days after removal of stitches, wound healing well, normal body temperature, respiration, pulse, oral breast can maintain nutrition, vomiting choke-free milk, to discharge. And follow up on a regular basis.