Ulger A Füsun, Sen Elif, Kaya Akin, Acican Turan, Akkoca Oznur, Karabiyikoğlu Gülseren
Department of Chest Diseases, Ankara University, Faculty of Medicine, Ankara, Turkey.
Tuberk Toraks. 2005;53(1):66-9.
The pathophysiology of upper-airway obstruction (UAO) is complex. Possible causes of UAO that may lead to acute respiratory failure, are as follows: infections like acute epiglottitis and croup, obstructing tumors in the base of the tongue, larynx or hypopharynx, aspirated food or liquid contents, obesity and anatomical variations. Management changes according to the pathogenesis of the disorder. In patients with severe carbon dioxide retention or apnea, emergency endotracheal intubation must be carried out. Hereby, we describe a 23-year-old patient with susceptible upper-airway anatomy and UAO occurred following an upper respiratory infection and complicated with pulmonary hypertension and pulmonary edema. Our patient seems to be one of the complicated UAO cases, with an unusual but critical clinical presentation, evaluated in a wide spectrum and nicely returned to life.
上气道梗阻（UAO）的病理生理学很复杂。可能导致急性呼吸衰竭的UAO病因如下：如急性会厌炎和喉炎等感染、舌根、喉或下咽的阻塞性肿瘤、误吸的食物或液体、肥胖及解剖变异。治疗方法根据疾病的发病机制而有所不同。对于严重二氧化碳潴留或呼吸暂停的患者，必须进行紧急气管插管。在此，我们描述一名23岁患者，其具有易患UAO的上气道解剖结构，在上呼吸道感染后发生UAO，并并发肺动脉高压和肺水肿。我们的患者似乎是复杂UAO病例之一，具有不寻常但危急的临床表现，经过全面评估后顺利康复。
