患儿:女,38d。体重:3.5kg,生后吮奶呛咳、紫绀、反复发热来院。体检:T:38.9℃,R:30次/min,右下肺未闻及呼吸音,心尖搏动位于胸骨右缘第5肋间,心音有力,心率140次/min,律齐。胸部CT检查、食管泛影葡胺造影诊断示:右下肺支气管食管下段瘘、右下肺发育不全并感染,右位心(图1)。经1 Children: Female, 38d. Weight: 3.5kg, after sucking milk cough, cyanosis, repeated fever to the hospital. Physical examination: T: 38.9 ℃, R: 30 times / min, the right lower lung was not heard and breath sounds, apical beating in the 5th intercostal space on the right margin of the sternum, the heart sound was strong, the heart rate was 140 beats / min. Chest CT examination, diagnosis of esophageal meglumine diaphragma showed: lower right lung bronchial fistula, lower right lung hypoplasia and infection, right centripetal (Figure 1). After 1