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妊娠期间的声门下狭窄

Subglottic stenosis in pregnancy.

作者信息

Scholz A, Srinivas K, Stacey M R W, Clyburn P

机构信息

Department of Anaesthesia and Intensive Care Medicine, University Hospital of Wales, Heath Park, Cardiff CF14 4XW, UK.

出版信息

Br J Anaesth. 2008 Mar;100(3):385-8. doi: 10.1093/bja/aem391. Epub 2008 Jan 29.

Abstract

Subglottic stenosis (SGS) in pregnancy is rare but may cause a potentially life-threatening delivery and is a challenge to the anaesthetist and the obstetrician. Clinical signs of SGS may not be obvious and the diagnosis can be difficult. Patients usually present with shortness of breath rather than stridor. Many patients have been wrongly diagnosed with asthma and recurrent bronchitis before subsequent discovery of a SGS. Early diagnosis of SGS and multidisciplinary input is important in managing these patients. We present a case of a pregnant woman with a history of Wegener's granulomatosis and the successful multidisciplinary management of her SGS.

摘要

妊娠声门下狭窄(SGS)较为罕见,但可能导致危及生命的分娩情况,对麻醉医生和产科医生来说都是一项挑战。SGS的临床体征可能不明显,诊断困难。患者通常表现为呼吸急促而非喘鸣。许多患者在后来发现SGS之前,曾被误诊为哮喘和复发性支气管炎。SGS的早期诊断和多学科协作对于治疗这些患者很重要。我们报告一例有韦格纳肉芽肿病史的孕妇,并成功对其SGS进行了多学科治疗。

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