1 Pulmonary and Critical Care Section, Department of Medicine, Veterans Affairs San Diego Healthcare System, San Diego, California; and.
2 Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine.
Ann Am Thorac Soc. 2018 Jun;15(6):643-654. doi: 10.1513/AnnalsATS.201708-695FR.
Diseases affecting the ear, nose, and throat are prevalent in intensive care settings and often require combined medical and surgical management. Upper airway occlusion can occur as a result of malignant tumor growth, allergic reactions, and bleeding events and may require close monitoring and interventions by intensivists, sometimes necessitating surgical management. With the increased prevalence of immunocompromised patients, aggressive infections of the head and neck likewise require prompt recognition and treatment. In addition, procedure-specific complications of major otolaryngologic procedures can be highly morbid, necessitating vigilant postoperative monitoring. For optimal outcomes, intensivists need a broad understanding of the pathophysiology and management of life-threatening otolaryngologic disease.
影响耳、鼻、喉的疾病在重症监护环境中很常见，通常需要医学和外科联合治疗。上呼吸道阻塞可由恶性肿瘤生长、过敏反应和出血事件引起，可能需要重症监护医生密切监测和干预，有时需要手术治疗。随着免疫功能低下患者的增多，头颈部侵袭性感染同样需要迅速识别和治疗。此外，主要耳鼻喉科手术的特定程序并发症可能非常严重，需要进行警惕的术后监测。为了获得最佳结果，重症监护医生需要广泛了解危及生命的耳鼻喉疾病的病理生理学和治疗方法。
