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食管息肉表现为后纵隔肿块：术中出现动态气道梗阻，需紧急行气管切开术。

Esophageal polyp as a posterior mediastinal mass: Intraoperative dynamic airway obstruction requiring emergency tracheostomy.

作者信息

Sen Suvadeep, Chhabra Anjolie, Ganguly Arpita, Baidya Dalim Kumar

机构信息

Department of Anaesthesia and Intensive Care, All India Institute of Medical Sciences, New Delhi, India.

Department of Anaesthesia, Max Superspeciality Hospital, Saket, New Delhi, India.

出版信息

J Anaesthesiol Clin Pharmacol. 2014 Jan;30(1):97-100. doi: 10.4103/0970-9185.125715.

DOI:10.4103/0970-9185.125715
PMID:24574604
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3927304/
Abstract

Anesthesia in the presence of a mediastinal mass is difficult and challenging as the mass can involve or compress the heart, great vessels, tracheo-bronchial tree and the surrounding structures. We describe a case of severe tracheo-bronchial obstruction requiring emergency tracheostomy during the intraoperative period after an uneventful induction of anesthesia in a patient with a large esophageal polyp presenting as a posterior mediastinal mass.

摘要

在纵隔肿物存在的情况下进行麻醉是困难且具有挑战性的，因为肿物可能累及或压迫心脏、大血管、气管支气管树及周围结构。我们描述了一例在麻醉诱导平稳后术中出现严重气管支气管梗阻需要紧急气管切开术的病例，患者为一名患有巨大食管息肉并表现为后纵隔肿物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50e7/3927304/b8e20bbb76eb/JOACP-30-97-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50e7/3927304/b8e20bbb76eb/JOACP-30-97-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50e7/3927304/b8e20bbb76eb/JOACP-30-97-g001.jpg

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