Kariya Nobutaka, Nishi Shinichi, Funao Tomoharu, Nishikawa Kiyonobu, Asada Akira
Department of Anesthesiology and Intensive Care Medicine, Osaka City University Medical School, Osaka, USA.
J Clin Anesth. 2003 Nov;15(7):534-6. doi: 10.1016/j.jclinane.2003.01.002.
We report a case of difficult airway in a 37-day-old female with a laryngeal cyst during induction of general anesthesia. This case illustrates that upper airway obstruction can occur during induction of anesthesia with an unusual infantile aryepiglottic fold cyst. In this case, successful orotracheal intubation was achieved with spontaneous respiration, and preoperative information on orientation of the lesion assisted in positioning the patient to minimize the degree of dynamic obstruction.
我们报告一例37日龄患喉囊肿的女性在全身麻醉诱导期间出现困难气道的病例。该病例表明，在麻醉诱导期间，一种罕见的婴儿会厌襞囊肿可导致上呼吸道梗阻。在本病例中，通过自主呼吸成功实施了经口气管插管，术前关于病变定位的信息有助于患者体位摆放，以尽量减轻动态梗阻程度。
