Takeda Chikashi, Naito Yoshihumi, Miyawaki Ikuko, Yamazaki Kazuo
Masui. 2016 Feb;65(2):168-71.
Madelung's disease is a rare disorder characterized by multiple, symmetric fatty tissues. The patient, 72-year-old man was admitted to our hospital for abdominal surgery for liver cancer. He had extreme fatty accumulations involving head and neck. We expected difficult airway because of his fatty tissues, and we perfomed awake intubation by Airway Scope. We confirmed the airway by using tube exchanger at extubation. We should choose a proper airway management technique to reduce the incidences of airway complications.
马德隆氏病是一种罕见的疾病,其特征为多处对称性脂肪组织。该患者为一名72岁男性,因肝癌接受腹部手术而入住我院。他的头颈部有大量脂肪堆积。由于其脂肪组织,我们预计气道管理会有困难,因此使用气道镜进行了清醒插管。拔管时我们使用换管器确认了气道。我们应选择合适的气道管理技术以降低气道并发症的发生率。