Diep Jack, Kam David, Kuenzler Keith A, Arthur Jill F
From the *Department of Anesthesiology and Perioperative Medicine, Rutgers New Jersey Medical School, Newark, New Jersey; †New Jersey Medical School, Newark, New Jersey; ‡Division of Pediatric Surgery, Hackensack University Medical Center, Hackensack, New Jersey; and §Division of Pediatric Anesthesiology, Hackensack University Medical Center, Hackensack, New Jersey.
A A Case Rep. 2016 Feb 1;6(3):61-4. doi: 10.1213/XAA.0000000000000267.
Retropharyngeal abscesses are deep neck space infections that can lead to life-threatening airway emergencies and other catastrophic complications. Retropharyngeal abscesses demand prompt diagnosis and early establishment of a definitive airway when there is airway compromise. This can be difficult in an uncooperative patient. We present the case of a 12-year-old girl with mediastinitis and tracheal compression and anterior displacement from a large retropharyngeal and posterior mediastinal abscess secondary to traumatic esophageal perforation, who received successful awake nasal fiberoptic intubation. Anesthesiologists must be prepared for airway emergencies in uncooperative patients, especially children, but there is controversy concerning the use of sedation.
咽后脓肿是颈部深部间隙感染，可导致危及生命的气道急症和其他灾难性并发症。当出现气道受压时，咽后脓肿需要及时诊断并尽早建立确定性气道。对于不配合的患者，这可能具有挑战性。我们报告一例12岁女孩的病例，她因创伤性食管穿孔继发巨大咽后和后纵隔脓肿，出现纵隔炎、气管受压并向前移位，成功接受了清醒鼻纤维光导喉镜插管。麻醉医生必须为不配合的患者，尤其是儿童的气道急症做好准备，但关于镇静的使用存在争议。
