路德维希咽峡炎的气道管理
Airway management in Ludwig's angina.
作者信息
Neff S P, Merry A F, Anderson B
机构信息
Department of Anaesthesia, Green Lane Hospital, Auckland, New Zealand.
出版信息
Anaesth Intensive Care. 1999 Dec;27(6):659-61. doi: 10.1177/0310057X9902700323.
A 37-year-old 91 kg man presented with features of Ludwig's angina. Anaesthesia for incision and drainage of his submandibular abscess was undertaken by two specialist anaesthetists with an otorhinolaryngological surgeon prepared for immediate tracheostomy. After preoxygenation, gas induction with sevoflurane in oxygen was followed by a gush of pus into the oral cavity and laryngospam causing acute upper airway obstruction. This resolved with 25 mg of suxamethonium and an endotracheal tube was passed into the trachea with difficulty. Options for management of the difficult airway in Ludwig's angina are discussed.
一名37岁、体重91公斤的男性患者出现路德维希咽峡炎的症状。两名专业麻醉师为其下颌下脓肿切开引流实施麻醉，一名耳鼻喉科医生随时准备进行紧急气管切开术。预充氧后，采用七氟醚在氧气中进行气体诱导，随后一股脓液涌入口腔并引发喉痉挛，导致急性上气道梗阻。静脉注射25毫克琥珀胆碱后梗阻缓解，但气管插管时遇到困难。本文讨论了路德维希咽峡炎困难气道的处理方法。
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