一名喉癌患者在清醒纤维喉镜插管后发生胃破裂。

Gastric rupture after awake fibreoptic intubation in a patient with laryngeal carcinoma.

作者信息

Ho C-M, Yin I-W, Tsou K-F, Chow L-H, Tsai S-K

机构信息

Department of Anaesthesiology, Taipei Veterans General Hospital and National Yang-Ming University, Taipei, Taiwan.

出版信息

Br J Anaesth. 2005 Jun;94(6):856-8. doi: 10.1093/bja/aei124. Epub 2005 Mar 11.

DOI:10.1093/bja/aei124

PMID:15764626

Abstract

An 86-yr-old man with recurrent laryngeal carcinoma developed gastric rupture after awake fibreoptic intubation before induction of general anaesthesia. Early clinical signs included a distended, tense and tympanic abdomen with pain and massive pneumoperitoneum (chest radiograph). Laparotomy revealed a 4-cm longitudinal perforation along the lesser curvature of the stomach. This case represents a rare but severe complication that may occur during fibreoptic intubation in the awake patient.

摘要

一名86岁复发性喉癌男性患者在全身麻醉诱导前进行清醒纤维支气管镜插管后发生胃破裂。早期临床体征包括腹部膨隆、紧张呈鼓音伴疼痛以及大量气腹（胸部X线片）。剖腹探查发现沿胃小弯有一个4厘米长的纵向穿孔。该病例代表了清醒患者纤维支气管镜插管期间可能发生的一种罕见但严重的并发症。