Tsarapkin G Yu, Kryukov A I, Turovsky A B, Tovmasyan A S, Ogorodnikov D S, Lapchenko A A, Kishinevskii A E
L.I. Sverzhevsky Research Institute of Clinical Otorhinolaryngology, Moscow Health Department, Moscow, Russia, 117152.
L.I. Sverzhevsky Research Institute of Clinical Otorhinolaryngology, Moscow Health Department, Moscow, Russia, 117152; Pirogov Russian National Research Medical University, Moscow, Russia, 117997.
Vestn Otorinolaringol. 2019;84(2):61-64. doi: 10.17116/otorino20198402161.
The article describes a rare clinical case of the development of angioedema of the larynx and pharynx in a patient during a surgery under endotracheal anesthesia. The authors of the article indicate that in the practice of clinic is 1 case for 32011 people, which is 0.003% of all hospitalized in the hospital for the elective surgical treatment of diseases of the upper respiratory tract. After removal of the tonsils and cyst of the nasopharynx, the surgeon noted a pronounced edema of the uvula, the mucous membrane of the soft palate, the lateral walls of the laryngopharynx and larynx. The patient was not taken out of the anesthesia. The mechanical ventilation was continued and the patient was transferred to the intensive care unit and intensive care unit where antiedematous and symptomatic therapy was conducted. On the 3rd day of treatment, the upper respiratory tract edema reduced, the patient was extubated. The authors present an algorithm for the examination and treatment of patients with angioedema.
本文描述了一例在气管内麻醉下手术过程中患者发生喉和咽血管性水肿的罕见临床病例。文章作者指出，在临床实践中，每32011人中有1例，占因上呼吸道疾病择期手术治疗而住院的所有患者的0.003%。切除扁桃体和鼻咽囊肿后，外科医生注意到悬雍垂、软腭黏膜、下咽和喉侧壁明显水肿。患者未脱离麻醉状态。继续进行机械通气，并将患者转至重症监护病房，在那里进行了抗水肿和对症治疗。治疗第3天，上呼吸道水肿减轻，患者拔管。作者提出了血管性水肿患者的检查和治疗算法。
