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BMJ Case Rep. 2018 Nov 1;2018:bcr-2018-227022. doi: 10.1136/bcr-2018-227022.
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Rescue computed tomography-guided drainage of a giant mediastinal mature teratoma causing airway obstruction prior to surgical resection: a case report.手术切除前计算机断层扫描引导下对导致气道阻塞的巨大纵隔成熟畸胎瘤进行抢救性引流：病例报告
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本文引用的文献

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Rescue of cardiopulmonary collapse in anterior mediastinal tumor: case presentation and review of literature.前纵隔肿瘤心肺骤停的抢救：病例报告及文献复习
Pediatr Emerg Care. 2010 Apr;26(4):296-8. doi: 10.1097/PEC.0b013e3181d6daf0.
2
Emergency cardiopulmonary bypass in a patient with a mediastinal mass.一名纵隔肿物患者的紧急体外循环
Anaesthesia. 2007 Aug;62(8):859-60. doi: 10.1111/j.1365-2044.2007.05210.x.
3
Anaesthetic management for the child with a mediastinal mass.患有纵隔肿物患儿的麻醉管理
Paediatr Anaesth. 2004 Jan;14(1):95-7. doi: 10.1046/j.1460-9592.2003.01196.x.
4
Mediastinal tumour causing airway obstruction in anaesthetised children.
Anaesthesia. 1982 May;37(5):571-5. doi: 10.1111/j.1365-2044.1982.tb01229.x.
5
Major airway obstruction by mediastinal tumour. A case report.纵隔肿瘤致大气道梗阻。病例报告。
Br J Anaesth. 1973 Oct;45(10):1082-4. doi: 10.1093/bja/45.10.1082.
6
Extracorporeal oxygenation for induction of anesthesia in a patient with an intrathoracic tumor.体外氧合用于胸腔内肿瘤患者的麻醉诱导
Anesthesiology. 1975 Apr;42(4):493-5. doi: 10.1097/00000542-197504000-00023.
7
Mangement of critical airway obstruction in a child with a mediastinal tumor.纵隔肿瘤患儿严重气道梗阻的处理
Anesthesiology. 1976 Jul;45(1):100-2. doi: 10.1097/00000542-197607000-00020.

婴儿前纵隔畸胎瘤的围手术期管理：工具箱中的又一工具

Perioperative management of an anterior mediastinal teratoma in an infant: one more tool in the toolbox.

作者信息

Brenn Bruce R, Reddy Srijaya K, Van Arendonk Kyle J, Morgan Walter M

机构信息

Anesthesiology, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, Tennessee, USA.

Surgery, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, Tennessee, USA.

出版信息

BMJ Case Rep. 2018 Nov 1;2018:bcr-2018-227022. doi: 10.1136/bcr-2018-227022.

DOI:10.1136/bcr-2018-227022
PMID:30389739
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6214393/
Abstract

Anterior mediastinal masses present a significant challenge in the perioperative period. Standard anaesthetic induction and airway management are often not feasible due to the risk of complete respiratory and/or cardiovascular collapse. Invasive manoeuvres, such as extracorporeal membrane oxygenation, cardiac bypass, or tracheal or bronchial stenting, are sometimes not applicable due to significant anatomic aberration. We present a case of anterior mediastinal mass in a 5-month-old infant where typical management techniques in the treatment algorithm were not possible.

摘要

前纵隔肿物在围手术期带来了重大挑战。由于存在完全呼吸和/或心血管衰竭的风险，标准的麻醉诱导和气道管理往往不可行。由于严重的解剖变异，诸如体外膜肺氧合、心脏搭桥或气管或支气管支架置入等侵入性操作有时也不适用。我们报告一例5个月大婴儿的前纵隔肿物病例，在该病例中，治疗流程中的典型管理技术无法实施。