Tyagi I, Goyal A, Syal R, Agarwal S K, Tewari P
Neuro-otology Unit, Department of Neuro-surgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow (UP), India.
J Laryngol Otol. 2006 Aug;120(8):687-90. doi: 10.1017/S0022215106001745. Epub 2006 Jun 2.
Some medical emergencies need compromised airway management as the first measure. Most of these cases are first seen by an ENT surgeon, whose proper evaluation and timely intervention can prove decisive. Knowledge of alternatives for airway management can prove life-saving, although these may require the active involvement of other specialities.
Two patients, a 27-year-old man and a 31-year-old woman, presented in respiratory distress with cyanosis. Each had a pedunculated mass in the lower trachea above the carina, with about 90 per cent tracheal lumen obstruction. They were managed successfully with femorofemoral cardiopulmonary bypass and restoration of airway.
Femorofemoral cardiopulmonary bypass can be a relatively safe option which gains time for airway management in such conditions. Knowledge of this procedure among ENT surgeons can lead to timely intervention, in properly selected cases, which can save valuable time.
一些医疗紧急情况需要将气道管理作为首要措施。这些病例大多首先由耳鼻喉科外科医生接诊，其正确评估和及时干预可能起决定性作用。气道管理替代方法的知识可能挽救生命，尽管这些方法可能需要其他专科的积极参与。
两名患者，一名27岁男性和一名31岁女性，出现呼吸窘迫伴发绀。两人在隆突上方的下气管均有一个带蒂肿物，气管腔约90%梗阻。他们通过股-股体外循环和气道重建成功得到救治。
股-股体外循环在这种情况下可能是一种相对安全的选择，可为气道管理争取时间。耳鼻喉科外科医生了解此操作可在适当选择的病例中实现及时干预，从而节省宝贵时间。
