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俯卧位下患有巨大上纵隔肿块患者的麻醉挑战。

Anaesthetic challenges for a patient with huge superior mediastinal mass in prone position.

作者信息

Yeap Tat Boon, Teah Ming Kai, Ramly Astrie Kamalia Mohd, Bong Chin Pei

机构信息

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

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

出版信息

BMJ Case Rep. 2021 Apr 9;14(4):e242118. doi: 10.1136/bcr-2021-242118.

DOI:10.1136/bcr-2021-242118
PMID:33837036
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8043041/
Abstract

Anaesthesia for patients with huge mediastinal mass is very challenging due to the cardiorespiratory embarrassment that may occur. We present a patient with this condition, which was complicated by total airway obstruction, intraoperatively. We discuss the importance of patient positioning and the role of spontaneous ventilation.

摘要

对于患有巨大纵隔肿物的患者,麻醉极具挑战性,因为可能会出现心肺功能障碍。我们介绍了一位患有这种疾病的患者,术中出现了完全气道梗阻的并发症。我们讨论了患者体位的重要性以及自主通气的作用。

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2
Intraoperative Tracheal Obstruction Management among Patients with Anterior Mediastinal Masses.前纵隔肿物患者术中气管梗阻的处理
Case Rep Med. 2018 Jul 4;2018:4895263. doi: 10.1155/2018/4895263. eCollection 2018.
3
Mediastinal lesions across the age spectrum: a clinicopathological comparison between pediatric and adult patients.全年龄段的纵隔病变:儿童与成人患者的临床病理比较
Oncotarget. 2017 Apr 18;8(35):59845-59853. doi: 10.18632/oncotarget.17201. eCollection 2017 Aug 29.
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Anaesthesia for mediastinal mass.纵隔肿物的麻醉
Indian J Anaesth. 2014 Mar;58(2):215-7. doi: 10.4103/0019-5049.130840.
5
Mediastinal mass.纵隔肿物
BMJ Case Rep. 2010 Oct 4;2010:bcr1120092471. doi: 10.1136/bcr.11.2009.2471.
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Patient repositioning and the amelioration of airway obstruction by an anterior mediastinal tumor during general anesthesia -A case report-.患者体位改变对全麻后前纵隔肿瘤所致气道阻塞的改善:一例报告。
Korean J Anesthesiol. 2010 Sep;59(3):206-9. doi: 10.4097/kjae.2010.59.3.206. Epub 2010 Sep 20.
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Anesthesiology. 2004 Apr;100(4):826-34; discussion 5A. doi: 10.1097/00000542-200404000-00012.