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在患有纵隔肿块的幼儿中使用带装甲的气管插管。

Use of an armoured endotracheal tube in a toddler with mediastinal mass.

机构信息

Paediatric Intensive Care Unit, Addenbrooke's Hospital, Cambridge, UK

Paediatric Intensive Care Unit, Addenbrooke's Hospital, Cambridge, UK.

出版信息

BMJ Case Rep. 2023 Mar 23;16(3):e254410. doi: 10.1136/bcr-2022-254410.

DOI:10.1136/bcr-2022-254410
PMID:36958760
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10040047/
Abstract

Anterior mediastinal mass presents an airway challenge due to its relative size in a paediatric chest and its invasion and compression of the surrounding structures. We present a case of a toddler with airway obstruction secondary to an anterior mediastinal mass. We describe how the use of an armoured endotracheal tube helped with ventilation while waiting for steroids and chemotherapy to reduce the tumour size and compression.

摘要

前纵隔肿块因其在小儿胸部的相对大小以及对周围结构的侵犯和压迫,给气道带来挑战。我们报告了一例因前纵隔肿块导致气道阻塞的幼儿病例。我们描述了在等待类固醇和化疗药物缩小肿瘤大小和减轻压迫的过程中,使用带装甲的气管导管如何帮助通气。

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本文引用的文献

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Anterior mediastinal masses in children.儿童前纵隔肿块
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Pediatric Anterior Mediastinal Mass: A Review Article.小儿前纵隔肿物:一篇综述文章
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Clinical and diagnostic imaging findings predict anesthetic complications in children presenting with malignant mediastinal masses.临床和诊断性影像学检查结果可预测患有恶性纵隔肿块儿童的麻醉并发症。
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Management of the patient with a large anterior mediastinal mass: recurring myths.巨大前纵隔肿块患者的管理:反复出现的误区
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Damage to an armored endotracheal tube introduced via the intubating laryngeal mask airway induced by biting.
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The current role of mediastinoscopy in the evaluation of thoracic disease.纵隔镜检查在胸部疾病评估中的当前作用。
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Pharyngeal obstruction of a reinforced orotracheal tube.
Anesth Analg. 1999 Jul;89(1):261. doi: 10.1097/00000539-199907000-00062.