Department Anesthesiology and Pain Medicine, Hanyang Medical Center, Hanyang University College of Medicine, Seoul, Korea.
Korean J Anesthesiol. 2010 Apr;58(4):396-400. doi: 10.4097/kjae.2010.58.4.396. Epub 2010 Apr 26.
To achieve safe airway management, it is essential first to predict whether there will be difficulties in intubating or ventilating the patient's airway. An enlarged thyroid mass can produce a tracheal obstruction by compression or intraluminal invasion or both. We report two patients with thyroid cancer that obstructed the trachea by compression or invasion. There was no difficulty in endotracheal intubation of the patients with marked thyroid enlargement or in securing passage of the endotracheal tube through the compressed or narrowed portion of the trachea.
为了实现安全的气道管理,首先预测患者的气道插管或通气是否会有困难是至关重要的。甲状腺肿块增大可通过压迫或腔内侵犯或两者共同导致气管阻塞。我们报告了 2 例甲状腺癌患者,他们的甲状腺癌压迫或侵犯了气管。在明显甲状腺肿大的患者中进行气管内插管或确保气管内插管通过受压或狭窄部位并没有困难。