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肥胖患者短颈致气管切开困难 1 例报告

Difficult tracheostomy tube placement in an obese patient with a short neck -A case report-.

机构信息

Department of Anesthesiology and Pain Medicine, School of Medicine, Hallym University, Chuncheon, Korea.

出版信息

Korean J Anesthesiol. 2011 Jun;60(6):434-6. doi: 10.4097/kjae.2011.60.6.434. Epub 2011 Jun 17.

DOI:10.4097/kjae.2011.60.6.434
PMID:21738847
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3121091/
Abstract

We report a difficult case of tracheostomy in a 34-year-old obese woman with a short neck. The tracheostomy tube placement repeatedly failed because of anatomical changes due to obesity and a short neck, tracheal mucosal swelling due to prolonged intubation, and unexpected false passage; however, it was successfully performed using an endotracheal tube exchanger as a guidewire.

摘要

我们报告了一例肥胖的 34 岁短颈女性行气管切开术的困难病例。由于肥胖和短颈导致的解剖结构改变、长时间插管导致的气管黏膜肿胀以及意外假道，气管切开套管的置管反复失败；然而，使用气管插管交换器作为导丝成功地完成了手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3757/3121091/ec7edee74538/kjae-60-434-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3757/3121091/6cf101e033d3/kjae-60-434-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3757/3121091/ec7edee74538/kjae-60-434-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3757/3121091/6cf101e033d3/kjae-60-434-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3757/3121091/ec7edee74538/kjae-60-434-g002.jpg

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本文引用的文献

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A comparative study of the complications of surgical tracheostomy in morbidly obese critically ill patients.病态肥胖重症患者外科气管切开术并发症的比较研究
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Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(Suppl 3):4978-4981. doi: 10.1007/s12070-021-02544-6. Epub 2021 Apr 22.
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BMJ Case Rep. 2021 Jun 8;14(6):e243559. doi: 10.1136/bcr-2021-243559.
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Anesth Pain Med (Seoul). 2020 Jan 31;15(1):124-128. doi: 10.17085/apm.2020.15.1.124.
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