Senthuran S, Lim S, Gunning K E
John Farman Intensive Care Unit, Department of Radiology, Cambridge CB2 2QQ, UK.
Anaesthesia. 1999 Jul;54(7):674-8. doi: 10.1046/j.1365-2044.1999.00890.x.
We present the case of a 68-year-old woman who had a large cervicomediastinal haematoma that caused life-threatening airway obstruction. Retropharyngeal haematoma may occur in any age group and following a variety of causes. Retropharyngeal haematomas must be considered as a cause of airway obstruction following common injuries such as blunt cervical trauma or internal jugular vein cannulation. A high index of suspicion and early lateral neck X-ray is essential for safe management of this rare but potentially life-threatening injury.
我们报告了一例68岁女性患者的病例，该患者患有巨大的颈纵隔血肿，导致危及生命的气道阻塞。咽后血肿可发生于任何年龄组，且病因多样。咽后血肿必须被视为钝性颈部创伤或颈内静脉插管等常见损伤后气道阻塞的一个原因。对于这种罕见但可能危及生命的损伤，高度的怀疑指数和早期的颈部侧位X线检查对于安全管理至关重要。
