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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.

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

1
Anterior mediastinal masses in children.儿童前纵隔肿块
BJA Educ. 2019 Jan;19(1):21-26. doi: 10.1016/j.bjae.2018.10.001. Epub 2018 Nov 16.
2
Pediatric Anterior Mediastinal Mass: A Review Article.小儿前纵隔肿物:一篇综述文章
Semin Cardiothorac Vasc Anesth. 2015 Sep;19(3):248-54. doi: 10.1177/1089253215578931. Epub 2015 Mar 26.
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The anaesthetic management of children with anterior mediastinal masses.前纵隔肿块患儿的麻醉管理
Anaesthesia. 2008 Aug;63(8):837-46. doi: 10.1111/j.1365-2044.2008.05515.x. Epub 2008 Jun 10.
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Pharyngeal obstruction of a reinforced orotracheal tube.
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