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恶劣环境下的紧急环甲膜切开术：一例雷击后完全气道阻塞的病例报告。

Emergency Cricothyrotomy in a Harsh Environment: A Case Report of Complete Airway Obstruction Following a Lightning Strike.

机构信息

From the Department of Anesthesia and Intensive Care Unit, SS Filippo and Nicola Academic Hospital of Avezzano, L'Aquila, Italy.

Department of Anesthesia and Intensive Care Unit, San Salvatore Academic Hospital of L'Aquila, L'Aquila, Italy.

出版信息

A A Pract. 2023 Jun 19;17(6):e01688. doi: 10.1213/XAA.0000000000001688. eCollection 2023 Jun 1.

DOI:10.1213/XAA.0000000000001688
PMID:37335890
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10977055/
Abstract

A lightning strike is an extreme event with the highest mortality rate among electrical injuries. Death from a lightning strike is caused by either cardiac arrest or respiratory arrest. It is rare for upper airway damage to occur, but in these cases, airway control is recommended. If transoral intubation is unsuccessful, an emergency cricothyrotomy should be considered. Our case report describes an emergency cricothyroidotomy performed in a harsh environment on a mountain 2300 m above sea level on a patient with extensive burns of his supraglottic structures, after being directly hit by a lightning strike.

摘要

雷击是一种极端事件，电击伤的死亡率最高。雷击导致的死亡是由心脏骤停或呼吸骤停引起的。上呼吸道损伤很少发生，但在这些情况下，建议进行气道控制。如果经口腔插管不成功，应考虑紧急环甲切开术。我们的病例报告描述了一例在海拔 2300 米的山上的恶劣环境中对一名患者进行的紧急环甲切开术，该患者因直接被雷击而导致声门上结构广泛烧伤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/957b/10977055/5c1f12db9374/acc-17-e01688-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/957b/10977055/3ba115508770/acc-17-e01688-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/957b/10977055/5c1f12db9374/acc-17-e01688-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/957b/10977055/3ba115508770/acc-17-e01688-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/957b/10977055/5c1f12db9374/acc-17-e01688-g002.jpg

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