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肿瘤导致的气管阻塞:在硬质支气管镜检查期间使用静脉-静脉体外膜肺氧合

Tracheal obstruction due to tumour: use of veno-venous extracorporeal membrane oxygenation during rigid bronchoscopy.

作者信息

Zimmermann M, Vallier S, Sanchez B G, Agossou M, Venissac N

机构信息

Department of Thoracic and Cardiovascular Surgery University Hospital of Martinique Fort-De-France France.

Department of Anaesthesiology and Reanimation University Hospital of Martinique Fort-De-France France.

出版信息

Anaesth Rep. 2020 Oct 15;8(2):120-122. doi: 10.1002/anr3.12064. eCollection 2020 Jul-Dec.

Abstract

Tracheal tumour is rare but can lead to upper airway obstruction and acute respiratory distress. Its management includes surgical resection, radiotherapy or interventional bronchoscopy. Ventilation or difficulties with tracheal intubation can occur during the peri-operative course resulting in serious adverse consequences. We report the case of an 83-year-old man with an obstructive tracheal chondrosarcoma resected by rigid bronchoscopy undergoing veno-venous extracorporeal membrane oxygenation. Such support should be considered when the patient's airway patency cannot be ensured by conventional methods.

摘要

气管肿瘤罕见,但可导致上呼吸道梗阻和急性呼吸窘迫。其治疗方法包括手术切除、放疗或介入性支气管镜检查。围手术期可能会出现通气问题或气管插管困难,从而导致严重的不良后果。我们报告了一例83岁男性患者,患有梗阻性气管软骨肉瘤,通过硬支气管镜切除,术中接受了静脉-静脉体外膜肺氧合治疗。当常规方法无法确保患者气道通畅时,应考虑这种支持措施。

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