妊娠晚期声门下狭窄的成功管理。

Successful management of subglottic stenosis during the third trimester of pregnancy.

作者信息

Rumbak Mark, Dryer Joseph, Padhya Tapan, Camporesi Enrico, Karlnoski Rachel, Mangar Dev

机构信息

*Department of Internal Medicine, Pulmonary, Critical Care, and Sleep Medicine †Department of Otolaryngology-Head and Neck Surgery, Division of Head and Neck Oncology, University of South Florida College of Medicine ‡Florida Gulf to Bay Anesthesiology Associates, Tampa General Hospital, Tampa, FL.

出版信息

J Bronchology Interv Pulmonol. 2010 Oct;17(4):342-4. doi: 10.1097/LBR.0b013e3181f42da1.

DOI:10.1097/LBR.0b013e3181f42da1

PMID:23168958

Abstract

Subglottic stenosis is seldom encountered during pregnancy. Definitive treatment is tracheal resection and reanastomosis, although not during the later stages of pregnancy. We describe 2 patients who presented during the third trimester of pregnancy with significant tracheal obstruction from subglottic stenosis, one caused by Wegener granulomatosis and the other idiopathic in nature. Both patients refused temporary tracheostomy. We describe the surgical and anesthetic management of these patients subsequent to which they were both able to have normal, full-term vaginal deliveries.

摘要

声门下狭窄在孕期很少见。尽管在妊娠晚期不适合进行，但明确的治疗方法是气管切除和再吻合术。我们描述了2例在妊娠晚期因声门下狭窄导致严重气管梗阻的患者，其中1例由韦格纳肉芽肿病引起，另1例病因不明。两名患者均拒绝临时气管造口术。我们描述了对这些患者的手术和麻醉管理，之后她们都顺利进行了正常的足月阴道分娩。