一名年轻成人中与Rh血型相关的穿透性颈部损伤的围手术期麻醉管理
Perioperative anaesthetic management of penetrating neck injury associated with Rh blood type in a young adult.
作者信息
Wang Tao, Zhou Yeting, Shi Jiaohui, Wang Zhichun
机构信息
Department of Anesthesiology, Shuyang People's Hospital, ShuYang, China.
出版信息
BMJ Case Rep. 2013 Feb 20;2013:bcr2012008350. doi: 10.1136/bcr-2012-008350.
Abstract
We describe here a young adult patient with penetrating neck injuries (PNI) with an Rh negative blood type and discuss the perioperative anaesthetic management of single-stage surgical exploration under general anaesthesia and extracorporeal circulation in this patient. The patient had zone II PNI and he was in a haemodynamically progressive unstable state, and the knife penetrated the left internal jugular vein, superior thyroid artery and recurrent laryngeal nerve; the trachea and the oesophagus were swelling at a rapid rate. Eight weeks after operation, the patient was discharged from the hospital without any complications.
摘要
我们在此描述一名患有穿透性颈部损伤（PNI）的年轻成年患者，其血型为Rh阴性，并讨论该患者在全身麻醉和体外循环下进行单阶段手术探查的围手术期麻醉管理。该患者患有Ⅱ区PNI，血流动力学处于进行性不稳定状态，刀刺伤了左颈内静脉、甲状腺上动脉和喉返神经；气管和食管迅速肿胀。术后八周，患者出院，无任何并发症。
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