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病例报告:喉罩气道应用术后血管性水肿

Case Report: Post-operative Angioedema After a Laryngeal Mask Airway Application.

作者信息

Soghomonyan Suren, Fleming Qian, Bhandary Sujatha P

机构信息

Department of Anesthesiology, Ohio State University Wexner Medical Center, Columbus, OH, United States.

Department of Anesthesiology, Emory University Hospital, Atlanta, GA, United States.

出版信息

Front Med (Lausanne). 2021 Mar 15;8:566100. doi: 10.3389/fmed.2021.566100. eCollection 2021.

Abstract

Angioedema with macroglossia is a rare complication of anesthesia. We present a clinical case of post-operative development of angioedema presenting as macroglossia in a patient receiving chronic therapy with lisinopril, who developed symptoms in the early post-operative period following surgery in a lateral position, when a laryngeal mask airway was used. Possible mechanisms of angioedema and macroglossia development in our patient are discussed along with potential underlying predisposing mechanisms and available therapeutic approaches.

摘要

血管性水肿伴巨舌是麻醉的一种罕见并发症。我们报告一例接受赖诺普利长期治疗的患者术后发生血管性水肿并表现为巨舌的临床病例,该患者在侧卧位手术且使用喉罩气道后早期术后出现症状。我们讨论了该患者血管性水肿和巨舌发生的可能机制,以及潜在的易感机制和可用的治疗方法。

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Case Report: Post-operative Angioedema After a Laryngeal Mask Airway Application.病例报告:喉罩气道应用术后血管性水肿
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本文引用的文献

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A Case of Prolonged Angioedema After Cardiac Surgery.心脏手术后持续性血管性水肿 1 例报告
J Cardiothorac Vasc Anesth. 2020 Jul;34(7):1890-1896. doi: 10.1053/j.jvca.2019.12.025. Epub 2019 Dec 24.
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[Uvular edema. Rare complication in anesthesia].[悬雍垂水肿。麻醉中的罕见并发症]
Anaesthesist. 2014 Jul;63(7):574-7. doi: 10.1007/s00101-014-2341-8. Epub 2014 Jul 12.
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A rare case of angioedema after anaesthesia.
Indian J Anaesth. 2014 Mar;58(2):232-3. doi: 10.4103/0019-5049.130861.
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A case of propofol-induced oropharyngeal angioedema and bronchospasm.一例丙泊酚诱导的口咽血管性水肿和支气管痉挛。
Allergy Asthma Immunol Res. 2012 Jan;4(1):46-8. doi: 10.4168/aair.2012.4.1.46. Epub 2011 Nov 18.
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Icatibant.依卡替班
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