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重症大疱性表皮松解症患者的紧急困难气道管理

Emergency Difficult Airway Management in a Patient with Severe Epidermolysis Bullosa.

作者信息

Özkan Ahmet Selim, Kayhan Gülay Erdoğan, Akbaş Sedat, Kaçmaz Osman, Durmuş Mahmut

机构信息

Department of Anaesthesiology and Reanimation, İnönü University School of Medicine, Malatya, Turkey.

出版信息

Turk J Anaesthesiol Reanim. 2016 Oct;44(5):270-272. doi: 10.5152/TJAR.2016.49260. Epub 2016 Oct 1.

Abstract

Epidermolysis bullosa (EB) is a rare disease characterised by vesiculobullous lesions with minimal trauma to the skin and mucous membranes. Bleeding, scar tissue, contractures, oedema and lesions that can spread throughout the body can cause a difficult airway and vascular access in patients with EB. Therefore, anaesthetic management in patients with EB is a major problem even for experienced anaesthesiologists. Herein, we report a case of difficult airway management in a patient diagnosed with severe EB who presented for emergency tracheostomy because of respiratory failure under general anaesthesia.

摘要

大疱性表皮松解症(EB)是一种罕见疾病,其特征为皮肤和黏膜受到轻微创伤后出现水疱性大疱病变。出血、瘢痕组织、挛缩、水肿以及可遍布全身的病变,会给EB患者造成气道困难和血管通路问题。因此,即使对于经验丰富的麻醉医生而言,EB患者的麻醉管理也是一个重大难题。在此,我们报告一例诊断为重度EB的患者,该患者因全身麻醉下呼吸衰竭行急诊气管切开术,术中气道管理困难。

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Immunofluorescence antigen mapping for hereditary epidermolysis bullosa.遗传性大疱性表皮松解症的免疫荧光抗原定位。
Indian J Dermatol Venereol Leprol. 2012 Nov-Dec;78(6):692-7. doi: 10.4103/0378-6323.102358.
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Epidermolysis bullosa dystrophica of the larynx and trachea. Acute airway obstruction.
Ann Otol Rhinol Laryngol. 1980 Sep-Oct;89(5 Pt 1):428-9. doi: 10.1177/000348948008900510.
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Airway management during anesthesia in patients with epidermolysis bullosa dystrophica.
Anesthesiology. 1982 Apr;56(4):323-6. doi: 10.1097/00000542-198204000-00022.

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