Jansen G, Nowak A
Klinik für Anästhesiologie und Intensivmedizin, Notfallmedizin und Schmerztherapie, Städtisches Klinikum Dresden Friedrichstadt, Dresden, Deutschland.
Klinik für Anästhesiologie, Intensiv‑, Notfall‑, Transfusionsmedizin und Schmerztherapie, Evangelisches Klinikum Bethel, Burgsteig 13, 33617, Bielefeld, Deutschland.
Anaesthesist. 2018 May;67(5):362-365. doi: 10.1007/s00101-018-0438-1. Epub 2018 Apr 11.
Sarcoidosis is a rare multisystemic chronic inflammatory condition. Typically, there is a big discrepancy between the patient's subjectively perceived symptoms and the presence of clinical signs. Due to the high number of potential sites of onset (e. g. larynx, lungs, heart, liver, kidneys) the affected organs may show functional restrictions that are relevant for decisions related to anesthesia. Therefore, an anesthetists working in a clinical setting should be familiar with the special needs of this patient collective. This article describes the onset of sarcoidosis in a case of an unexpected difficult airway.
结节病是一种罕见的多系统慢性炎症性疾病。通常，患者主观感觉到的症状与临床体征的存在之间存在很大差异。由于潜在的发病部位数量众多（例如喉部、肺部、心脏、肝脏、肾脏），受影响的器官可能会出现与麻醉相关决策有关的功能受限。因此，在临床环境中工作的麻醉师应熟悉这类患者群体的特殊需求。本文描述了一例意外困难气道患者的结节病发病情况。
