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复发性鼻硬结病罕见病例的气道管理

Airway management of an unusual case of recurrent rhinoscleroma.

作者信息

D'souza Nita, Kulkarni Shilpa, Bhagwat Shama, Marolia Rusi

机构信息

Department of Anesthesiology, Ruby Hall Clinic, Pune, India.

出版信息

J Anaesthesiol Clin Pharmacol. 2011 Jul;27(3):389-92. doi: 10.4103/0970-9185.83690.

DOI:10.4103/0970-9185.83690
PMID:21897516
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3161470/
Abstract

Rhinoscleroma is a rare entity encountered in anesthesia practice. We discuss the management of a patient after its recurrence, involving the upper respiratory tract i.e. nasopharynx and oropharynx, which compromised the airway. The pateint was referred for anesthesia on three different occasions with different presentations owing to the recurrence of symptoms.The presence of an oropharyngeal membrane with a small opening made airway management a challenge. The patient was successfully managed on all three occasions. Imaging facilitated assessment and subsequent airway management.

摘要

鼻硬结病是麻醉实践中遇到的一种罕见病症。我们讨论了一名患者复发后涉及上呼吸道即鼻咽和口咽的处理情况,这对上呼吸道造成了损害。由于症状复发,该患者在三个不同场合因不同表现被转诊接受麻醉。口咽膜存在且有一个小开口使得气道管理成为一项挑战。该患者在所有三次场合均得到了成功处理。影像学检查有助于评估及后续的气道管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e986/3161470/c86f1bbbac2d/JOACP-27-389-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e986/3161470/8baaf4217560/JOACP-27-389-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e986/3161470/8d1807c7fe93/JOACP-27-389-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e986/3161470/c72047e0c085/JOACP-27-389-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e986/3161470/c86f1bbbac2d/JOACP-27-389-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e986/3161470/8baaf4217560/JOACP-27-389-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e986/3161470/8d1807c7fe93/JOACP-27-389-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e986/3161470/c72047e0c085/JOACP-27-389-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e986/3161470/c86f1bbbac2d/JOACP-27-389-g004.jpg

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Airway management of an unusual case of recurrent rhinoscleroma.复发性鼻硬结病罕见病例的气道管理
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引用本文的文献

1
Rhinoscleroma: An Unusual Presentation.鼻硬结病:一种不寻常的表现。
Indian Dermatol Online J. 2018 May-Jun;9(3):191-193. doi: 10.4103/idoj.IDOJ_134_17.
2
Rhinoscleroma: a case series report and review of the literature.鼻硬结病:病例系列报告及文献综述
Eur Arch Otorhinolaryngol. 2014 Jul;271(7):1851-6. doi: 10.1007/s00405-013-2649-z. Epub 2013 Aug 1.

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Rhinoscleroma: an updated experience through the last 10 years.鼻硬结病:过去十年的最新经验
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Rhinoscleroma causing severe bilateral nasal obstruction.导致严重双侧鼻阻塞的硬结性类肉瘤病。
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