Guillon A, Hottier S, Fusciardi J, Réa D, Garnaud D
Service d'anesthésie-réanimation, CHR d'Orléans, 14, avenue de l'Hôpital, 45100 Orléans, France.
Ann Fr Anesth Reanim. 2006 Sep;25(9):1003-6. doi: 10.1016/j.annfar.2006.03.042. Epub 2006 Aug 7.
We report the case of a 54-year-old woman suspected of relapsing polychondritis who underwent a nasal septum biopsy under general anaesthesia. Tracheal intubation was unremarkable, but extubation attempts failed because of upper airway inspiratory collapse induced ventilatory distress. Definitive tracheostomy placement was mandatory. Cartilage biopsy confirmed severely developed relapsing polychondritis. Even though relapsing polychondritis is rare, anaesthesiologists should be aware of this pathology and preanaesthetic evaluation may focus on particular risks associated with upper airway cartilaginous structure anatomical and histological modifications.
我们报告了一例54岁疑似复发性多软骨炎的女性患者，该患者在全身麻醉下接受了鼻中隔活检。气管插管过程顺利，但由于上气道吸气性塌陷导致通气困难，拔管尝试失败。最终不得不进行气管造口术。软骨活检证实为严重进展的复发性多软骨炎。尽管复发性多软骨炎罕见，但麻醉医生应了解这种病理情况，麻醉前评估可能应关注与上气道软骨结构解剖和组织学改变相关的特定风险。
