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一例主动脉弓及降主动脉瘤患者的血管性气道压迫管理

Vascular airway compression management in a case of aortic arch and descending thoracic aortic aneurysm.

作者信息

Kumar Alok, Dutta Vikas, Negi Sunder, Puri G D

机构信息

Department of Anaesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

Ann Card Anaesth. 2016 Jul-Sep;19(3):568-71. doi: 10.4103/0971-9784.185568.

DOI:10.4103/0971-9784.185568
PMID:27397474
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4971998/
Abstract

Airway compression due to distal aortic arch and descending aortic aneurysm repair has been documented. This case of tracheal and left main stem bronchus compression due to aortic aneurysm occurred in a 42-year-old man. The airway compression poses a challenge for the anesthesiologist in airway management during aortic aneurysm repair surgery. The fiber-optic bronchoscope is very helpful in decision-making both preoperatively and postoperatively in such cases. We report a case of airway compression in a 42-year-old patient who underwent elective distal aortic arch and descending aortic aneurysm repair.

摘要

远端主动脉弓和降主动脉瘤修复导致气道受压已有文献记载。本病例为一名42岁男性因主动脉瘤导致气管和左主支气管受压。在主动脉瘤修复手术期间，气道受压给麻醉医生的气道管理带来了挑战。在这类病例中，纤维支气管镜在术前和术后的决策中都非常有帮助。我们报告一例42岁患者在接受择期远端主动脉弓和降主动脉瘤修复时出现气道受压的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96eb/4971998/b9b04b0f3d81/ACA-19-568-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96eb/4971998/1acae1d56fd7/ACA-19-568-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96eb/4971998/7d1732552838/ACA-19-568-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96eb/4971998/738dffbf7430/ACA-19-568-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96eb/4971998/b9b04b0f3d81/ACA-19-568-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96eb/4971998/1acae1d56fd7/ACA-19-568-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96eb/4971998/7d1732552838/ACA-19-568-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96eb/4971998/738dffbf7430/ACA-19-568-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96eb/4971998/b9b04b0f3d81/ACA-19-568-g004.jpg

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