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环甲膜切开术:颈部解剖结构复杂患者进行选择性通气的短期措施。

Cricothyroidotomy: a short-term measure for elective ventilation in a patient with challenging neck anatomy.

作者信息

Paw H G W, Sharma S

机构信息

Intensive Care Unit, York Hospital, United Kingdom.

出版信息

Anaesth Intensive Care. 2006 Jun;34(3):384-7. doi: 10.1177/0310057X0603400310.

Abstract

Cricothyroidotomy is a well established technique of airway management in emergency situations where translaryngeal intubation cannot be achieved. This case report describes a case where cricothyroidotomy was used for elective ventilation for short period of 48 hours in a patient who had a vocal cord palsy, supraglottic oedema and inflammation. Surgical tracheostomy was considered the preferred option, but this was deemed impossible due to the challenging neck anatomy in this case.

摘要

环甲膜切开术是在无法进行经喉插管的紧急情况下一种成熟的气道管理技术。本病例报告描述了一例在声带麻痹、声门上水肿和炎症患者中,环甲膜切开术用于选择性通气48小时的病例。手术气管切开术被认为是首选方案,但由于该病例颈部解剖结构复杂,认为无法实施。

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