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一名喉乳头状瘤患儿出现近乎完全气道梗阻时的麻醉管理。

Anesthesia management in a child with laryngeal papilloma causing near complete airway obstruction.

作者信息

Harshad Parate Leena, Pujari Vinayak, Channappa Nagaraj Mungasuvalli, Anandaswamy Tejesh Channasandra

机构信息

Department of Anesthesia, M S Ramaiah Medical College, Bengaluru, Karnataka, India.

出版信息

Saudi J Anaesth. 2015 Jan;9(1):86-8. doi: 10.4103/1658-354X.146322.

DOI:10.4103/1658-354X.146322
PMID:25558205
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4279356/
Abstract

Recurrent respiratory papillomatosis (RRP) is a rare, chronic disease of viral etiology affecting most commonly larynx. A 5-year-old child with stridor was posted for microlaryngoscopic excision of laryngeal papilloma. We discuss the perioperative management of case with the various ventilation strategies. In child with stridor intubation remains the safest option. It is suggested to maintain spontaneous ventilation until intubation as mask ventilation could be difficult.

摘要

复发性呼吸道乳头状瘤病(RRP)是一种病因由病毒引起的罕见慢性疾病,最常累及喉部。一名5岁喘鸣儿童拟行喉乳头状瘤显微喉镜切除术。我们讨论该病例围手术期的管理及各种通气策略。对于喘鸣儿童,插管仍是最安全的选择。建议在插管前维持自主通气,因为面罩通气可能困难。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6027/4279356/494c558c383d/SJA-9-86-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6027/4279356/68c901453c61/SJA-9-86-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6027/4279356/494c558c383d/SJA-9-86-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6027/4279356/68c901453c61/SJA-9-86-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6027/4279356/494c558c383d/SJA-9-86-g002.jpg

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本文引用的文献

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Anesthesia management in pediatric patients with laryngeal papillomatosis undergoing suspension laryngoscopic surgery and a review of the literature.小儿喉乳头状瘤病患者行支撑喉镜手术的麻醉管理及文献复习
Int J Pediatr Otorhinolaryngol. 2011 Nov;75(11):1442-5. doi: 10.1016/j.ijporl.2011.08.012. Epub 2011 Sep 9.
2
Airway management in pediatric patients undergoing suspension laryngoscopic surgery for severe laryngeal obstruction caused by papillomatosis.
Paediatr Anaesth. 2010 Dec;20(12):1084-91. doi: 10.1111/j.1460-9592.2010.03447.x.
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Recurrent respiratory papillomatosis: a review.复发性呼吸道乳头状瘤病:综述
声门下带蒂息肉的管理难点
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Recurrent respiratory papillomatosis in children: masquerader of common respiratory diseases.
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Contemporary management of laryngeal papilloma in adults and children.
Otolaryngol Clin North Am. 2006 Feb;39(1):135-58. doi: 10.1016/j.otc.2005.10.009.
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Subglottic jet ventilation for pediatric microlaryngosurgery: a case report.小儿显微喉手术的声门下喷射通气:病例报告
J Clin Anesth. 2003 Aug;15(5):363-5. doi: 10.1016/s0952-8180(03)00023-0.
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Juvenile laryngeal papillomatosis: scary anaesthetic!青少年喉乳头状瘤病:可怕的麻醉!
Paediatr Anaesth. 1998;8(4):357-61. doi: 10.1046/j.1460-9592.1998.00758.x.
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