Lilot M, Petitjeans F, Wey P-F, Eve O, Puidupin M
Département d'anesthésie-réanimation-urgences, hôpital d'instruction des armées de Desgenettes, 108, boulevard Pinel, 69003 Lyon, France.
Ann Fr Anesth Reanim. 2010 Mar;29(3):247-50. doi: 10.1016/j.annfar.2009.11.012. Epub 2010 Jan 29.
Acute epiglottitis is an infection of supraglottic structures, with a high risk of life-threatening respiratory obstruction. We report a case of a 52-year-old patient who presented with a prehospital hypoxic respiratory arrest caused by obstructive oedema with a successful resuscitation. Laryngoscopy after a sudden unplanned extubation permits diagnosis of acute obstructive epiglottitis. The growing threat of laryngeal dyspnea prompts emergency tracheal airway protection, by means of the combined preparation of transtracheal oxygenation access and the use of fiber-optic laryngoscopy. This case report emphasises the airway management strategy successfully used in this patient.
急性会厌炎是声门上结构的感染，有危及生命的呼吸梗阻风险。我们报告一例52岁患者，其因梗阻性水肿导致院前低氧性呼吸骤停，但复苏成功。意外拔管后进行喉镜检查可诊断急性梗阻性会厌炎。喉喘鸣逐渐增加的威胁促使通过准备经气管给氧通道并使用纤维喉镜进行紧急气管气道保护。本病例报告强调了成功应用于该患者的气道管理策略。
