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前纵隔肿块导致急性上气道梗阻的不寻常表现。

Unusual presentation of acute upper airway obstruction caused by an anterior mediastinal mass.

作者信息

Akhtar T M, Ridley S, Best C J

机构信息

Department of Anaesthesia, Royal Hospital For Sick Children, Yorkhill, Glasgow.

出版信息

Br J Anaesth. 1991 Nov;67(5):632-4. doi: 10.1093/bja/67.5.632.

DOI:10.1093/bja/67.5.632
PMID:1751280
Abstract

We report an unusual case of acute upper airway obstruction. Inhalation of a foreign body caused choking in a 5-yr-old child, but subsequent investigations revealed a large anterior mediastinal tumour, externally compressing the trachea and the main bronchi. Such a presentation may be deceptive and is important, as general anaesthesia may result in complete airway obstruction with fatal consequences.

摘要

我们报告了一例罕见的急性上呼吸道梗阻病例。一名5岁儿童因吸入异物而窒息,但随后的检查发现一个巨大的前纵隔肿瘤,向外压迫气管和主支气管。这种表现可能具有欺骗性,且很重要,因为全身麻醉可能导致完全气道梗阻并产生致命后果。

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引用本文的文献

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Young Man with Cardiac Arrest Secondary to Undiagnosed Mediastinal Mass: A Case Report.未确诊纵隔肿物继发心脏骤停的青年男性:一例报告
Clin Pract Cases Emerg Med. 2021 Feb;5(1):62-65. doi: 10.5811/cpcem.2020.11.49235.
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Patient repositioning and the amelioration of airway obstruction by an anterior mediastinal tumor during general anesthesia -A case report-.患者体位改变对全麻后前纵隔肿瘤所致气道阻塞的改善:一例报告。
Korean J Anesthesiol. 2010 Sep;59(3):206-9. doi: 10.4097/kjae.2010.59.3.206. Epub 2010 Sep 20.
3
[Anaesthesiological management of mediastinal tumors].
[纵隔肿瘤的麻醉管理]
Anaesthesist. 2005 Dec;54(12):1215-28. doi: 10.1007/s00101-005-0895-1.
4
When is a mediastinal mass critical in a child? An analysis of 29 patients.小儿纵隔肿物何时为危急情况?29例患儿分析
Pediatr Surg Int. 2004 Mar;20(3):180-4. doi: 10.1007/s00383-004-1142-6. Epub 2004 Apr 3.