一名患有巨大前纵隔肿瘤的患者，表现为胸内气道受压和上腔静脉梗阻，行急诊剖宫产术的麻醉。
Anaesthesia for emergency caesarean section in a patient with large anterior mediastinal tumour presenting as intrathoracic airway compression and superior vena cava obstruction.
作者信息
Chiang James C S, Irwin Michael G, Hussain A, Tang Y K, Hiong Y T
机构信息
Department of Anaesthesiology, Queen Mary Hospital, Hong Kong.
出版信息
Case Rep Med. 2010;2010:708481. doi: 10.1155/2010/708481. Epub 2010 Oct 13.
Abstract
Anterior mediastinal mass is an uncommon pathology that presents significant anaesthetic challenges because of cardiopulmonary compromise. We present a case that presented in the third trimester of pregnancy with severe breathlessness, orthopnoea, and symptoms of superior vena cava obstruction. The patient had emergency Caesarean section under epidural anaesthesia with a good outcome. The paper discusses the relevant perioperative considerations for this complex scenario and reviews reports of similar conditions.
摘要
前纵隔肿物是一种不常见的病理情况，由于心肺功能受损，会带来重大的麻醉挑战。我们报告一例在妊娠晚期出现严重呼吸困难、端坐呼吸及上腔静脉梗阻症状的病例。该患者在硬膜外麻醉下接受了急诊剖宫产，结果良好。本文讨论了针对这一复杂情况的围手术期相关注意事项，并回顾了类似情况的报告。
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