Shao Yongfeng, Shen Meiping, Ding Zhengnian, Liang Yongnian, Zhang Shijiang
Division of Cardiothoracic Surgery, The First Affiliated Hospital with Nanjing Medical University, Nanjing, People's Republic of China.
Ann Thorac Surg. 2009 Aug;88(2):659-61. doi: 10.1016/j.athoracsur.2008.12.073.
We report a case of a 51-year-old woman with a huge multi-nodular thyroid goiter extending down into the superior mediastinum and causing severe extrinsic airway compression. Also due to the reason of severe rheumatoid arthritis, her mouth could not open widely. Because the endotracheal intubation was unsuccessful, we performed a subtotal thyroidectomy with the institution of veno-arterial extracorporeal membrane oxygenation.
我们报告一例51岁女性，患有巨大的多结节性甲状腺肿，向下延伸至纵隔上部，导致严重的气道外部压迫。此外，由于严重类风湿关节炎，她无法张大嘴巴。由于气管插管未成功，我们在建立静脉-动脉体外膜肺氧合的情况下进行了甲状腺次全切除术。
