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一例新冠后毛霉病并发症麻醉挑战的病例报告:家庭医生的患者准备工作

A case report on anesthetic challenges in the post-Covid complication of active mucormycosis: Patient preparedness for family physicians.

作者信息

Uppalapati Vamsi K, Ranjan Rajeev, Singh Umesh K, Kumar Himanshu, Shukla Rajiv

机构信息

Department of Anaesthesiology, Tata Main Hospital, Jamshedpur, Jharkhand, India.

出版信息

J Family Med Prim Care. 2022 Jul;11(7):3984-3987. doi: 10.4103/jfmpc.jfmpc_2428_21. Epub 2022 Jul 22.

Abstract

Mucormycosis is a well-known yet complicated illness that seems benign but behaves malignantly. This article discusses the anesthesia challenges in providing care for a 49-year-old male who presented with post-Covid pneumonia and uncontrolled diabetes along with active mucormycosis and scheduled for functional endoscope sinus surgery (FESS) and debridement of necrotic tissue. We want to illustrate the importance of anticipated difficult airway, while highlighting the toxicity of intravenous amphotericin-B and its combination against anesthesia drugs.

摘要

毛霉菌病是一种广为人知但复杂的疾病,看似良性却具有恶性行为。本文讨论了为一名49岁男性患者提供护理时面临的麻醉挑战,该患者患有新冠后肺炎、糖尿病控制不佳以及活动性毛霉菌病,计划进行功能性内窥镜鼻窦手术(FESS)和坏死组织清创术。我们想说明预期困难气道的重要性,同时强调静脉注射两性霉素B的毒性及其与麻醉药物的相互作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/798e/9648209/6197a0e5bdd8/JFMPC-11-3984-g001.jpg

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