巨大甲状腺肿物患者围手术期气道管理1例
Perioperative airway management of a patient with a huge thyroid tumor:a case report
李燕 1周柏贤 1张雪萍 2刘千云 1张华东 3李崎 4刘占立2
作者信息
- 1. 暨南大学第二临床医学院,深圳 518020
- 2. 深圳市人民医院麻醉科,深圳 518020
- 3. 深圳市人民医院重症医学科,深圳 518020
- 4. 四川大学华西医院麻醉手术中心,成都 610041
- 折叠
摘要
巨大甲状腺肿物患者具有病程长、气管移位、麻醉手术风险大等特点.对于已知的困难气道,围手术期全面评估和气道管理至关重要.文章报道1例巨大甲状腺肿物患者施行清醒气管插管麻醉[备体外膜肺氧合(ECMO)]的成功案例,并结合相关文献总结经验,为此类手术患者的围手术期气道管理提供参考.
Abstract
Patients with huge thyroid tumors have characteristics such as long course of disease,tracheal displacement,and high risk of anesthesia and surgery.For known difficult airways,comprehensive perioperative assessment and airway management are essential.This article reports a successful case of awake tracheal intubation anesthesia[with extracorporeal membrane oxygenation(ECMO)backup]for a patient with a huge thyroid tumor,and summarizes the experience based on relevant literature,providing a reference for perioperative airway management of such patients.
关键词
甲状腺肿/气道管理/清醒插管/体外膜肺氧合Key words
Goiter/Airway management/Awake intubation/Extracorporeal membrane oxygenation引用本文复制引用
出版年
2024
NETL
NSTL
万方数据