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COVID-19 危机期间导致急性气道阻塞的鼻咽弥漫性大 B 细胞淋巴瘤:麻醉医师的噩梦。

Nasopharyngeal diffuse large B-cells lymphoma causing acute airway obstruction amid COVID-19 crisis: an anaesthetist's nightmare.

机构信息

Medicine Based Disciplines Department, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Malaysia

Department of Anaesthesia and Intensive Care Unit, Hospital Queen Elizabeth, Kota Kinabalu, Sabah, Malaysia.

出版信息

BMJ Case Rep. 2021 Jan 28;14(1):e241008. doi: 10.1136/bcr-2020-241008.

Abstract

Acute stridor is often an airway emergency. We present a valuable experience handling an elderly woman who was initially treated as COVID-19 positive during the pandemic in November 2020. She needed an urgent tracheostomy due to nasopharyngeal (NP) diffuse large B-cell lymphoma causing acute airway obstruction. Fortunately, 1 hour later, her NP swab real-time PCR test result returned as SARS-CoV-2 negative. This interesting article depicts the importance of adequate preparations when handling potentially infectious patients with anticipated difficult airway and the perioperative issues associated with it.

摘要

急性喘鸣通常是一种气道紧急情况。我们介绍了一位有价值的经验,处理一位老年女性,她在 2020 年 11 月大流行期间最初被诊断为 COVID-19 阳性。由于鼻咽部弥漫性大 B 细胞淋巴瘤导致急性气道阻塞,她需要紧急气管切开术。幸运的是,1 小时后,她的鼻咽拭子实时 PCR 检测结果返回 SARS-CoV-2 阴性。这篇有趣的文章描述了在处理预计有困难气道的潜在传染性患者时,充分准备的重要性,以及相关的围手术期问题。

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