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一例因甲状舌管囊肿怀疑插管困难的幼儿全身麻醉病例。

A Case of General Anesthesia for a Young Infant in Whom Intubation Was Suspected to Be Difficult Because of a Thyrolingual Cyst.

作者信息

Noguchi Tomoyasu, Miyazawa Noriko, Ooyama Nami, Ichinohe Tatsuya

机构信息

Department of Dental Anesthesiology, Tokyo Dental College, Tokyo, Japan.

Department of Anesthesiology, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan.

出版信息

Anesth Prog. 2018 Summer;65(2):127-128. doi: 10.2344/anpr-65-02-04.

DOI:10.2344/anpr-65-02-04
PMID:29952647
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6022799/
Abstract

This is a case report of an infant who underwent thyrolingual cystectomy under general anesthesia. Two tracheal tubes were used: 1 for nasopharyngeal airway and the other for fiberoptic intubation. With this method, nasal intubation was successfully performed without hypoxia and hypercapnia even in a 3-month-old infant. We concluded this is a useful intubation method for infants who are predicted to be a difficult intubation.

摘要

这是一篇关于一名在全身麻醉下接受甲状舌管囊肿切除术的婴儿的病例报告。使用了两根气管导管：一根用于鼻咽通气道，另一根用于纤维支气管镜插管。采用这种方法，即使在一名3个月大的婴儿身上，也成功进行了鼻插管，且未出现缺氧和高碳酸血症。我们得出结论，对于预计插管困难的婴儿，这是一种有用的插管方法。

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1
A Case of General Anesthesia for a Young Infant in Whom Intubation Was Suspected to Be Difficult Because of a Thyrolingual Cyst.一例因甲状舌管囊肿怀疑插管困难的幼儿全身麻醉病例。
Anesth Prog. 2018 Summer;65(2):127-128. doi: 10.2344/anpr-65-02-04.
2
Laryngeal mask airway guided fibreoptic tracheal intubation in a child with a lingual thyroglossal duct cyst.
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Fiberoptic assisted tracheal intubation under general anesthesia with IPPV.全身麻醉下间歇正压通气时纤维光学引导气管插管。
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Fiberoptic-guided intubation after insertion of the i-gel airway device in spontaneously breathing patients with difficult airway predicted: a prospective observational study.预测困难气道的自主呼吸患者插入i-gel气道装置后纤维支气管镜引导插管：一项前瞻性观察研究。
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本文引用的文献

1
Acute upper-airway obstruction by a lingual thyroglossal duct cyst and implications for advanced airway management.舌甲状腺舌管囊肿导致的急性上气道梗阻及其对高级气道管理的影响。
Respir Care. 2014 Jul;59(7):e98-e102. doi: 10.4187/respcare.02513. Epub 2013 Oct 29.