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病例报告:麻醉后气道受损及其与血管紧张素转换酶抑制剂使用的相关性——一起意外临床事件及文献综述

Case Report: Compromised Airway Following Anesthesia and Its Correlation With the Use of ACE Inhibitors-An Unexpected Clinical Event and Review of Literature.

作者信息

Mohanty Sanjeev, Bangaari Ashish, Gnanasekaran Kumaran

机构信息

MGM Health Care, Chennai, India.

Department of Anaesthesia, MIOT International, Chennai, India.

出版信息

Front Surg. 2021 Mar 22;8:631456. doi: 10.3389/fsurg.2021.631456. eCollection 2021.

Abstract

Angiotensin-converting enzyme inhibitors associated angioedema involving the upper aerodigestive tract is indisputably a hazardous airway condition which is clinically poorly recognized and frequently underestimated. We describe and present case of a 70-year old man on ramipril who developed massive tongue swelling post-operatively after unremarkable laryngeal mask anaesthesia which was fortuitously managed conservatively. High index of suspicion, timely recognition and knowledge of pathophysiology and the clinical course should guide airway and further supportive management in these patients.

摘要

血管紧张素转换酶抑制剂相关的累及上呼吸道消化道的血管性水肿无疑是一种危险的气道疾病,临床上对此认识不足且常常被低估。我们描述并呈现了一例70岁男性患者的病例,该患者服用雷米普利,在喉罩麻醉无异常后术后出现舌部大量肿胀,幸运的是通过保守治疗得以处理。高度的怀疑指数、及时的识别以及对病理生理学和临床过程的了解应指导对这些患者的气道及进一步的支持治疗。

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