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气管内鼻咽气道：一例报告

Nasopharyngeal Airway in the Trachea: A Case Report.

作者信息

Khan Muhammad Usman, Khalid Waqar, Latif Naveed, Hussain Tanvir

机构信息

Anesthesiology and Critical Care, National Hospital & Medical Center, Lahore, PAK.

出版信息

Cureus. 2024 May 12;16(5):e60149. doi: 10.7759/cureus.60149. eCollection 2024 May.

DOI:10.7759/cureus.60149
PMID:38864059
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11166376/
Abstract

We report a case of a cannulated nasopharyngeal airway (NPA) in a patient having a neurological deficit, absent gag reflex, and no clinically obvious signs of respiratory distress. The patient had two episodes of vomiting before admission and was admitted with the initial working diagnosis of aspiration pneumonia; however, a preliminary chest X-ray (CXR) revealed an NPA, sitting vertically in the airway. It is our emphasis that thorough clinical history and radiological imaging are of paramount importance in prompt management of such airway complications.

摘要

我们报告了一例患有神经功能缺损、咽反射消失且无明显临床呼吸窘迫体征的患者置入鼻咽气道（NPA）的病例。该患者入院前有两次呕吐发作，入院时初步诊断为吸入性肺炎；然而，初步胸部X线（CXR）检查发现气道内垂直放置着一个NPA。我们强调，详尽的临床病史和影像学检查对于此类气道并发症的及时处理至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9d0/11166376/78555dd326d5/cureus-0016-00000060149-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9d0/11166376/b1ce3382b77e/cureus-0016-00000060149-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9d0/11166376/13d4e4733f58/cureus-0016-00000060149-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9d0/11166376/78555dd326d5/cureus-0016-00000060149-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9d0/11166376/b1ce3382b77e/cureus-0016-00000060149-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9d0/11166376/13d4e4733f58/cureus-0016-00000060149-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9d0/11166376/78555dd326d5/cureus-0016-00000060149-i03.jpg

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引用本文的文献

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The Lost Nasopharyngeal Airway: A Sentinel Event to Ponder?丢失的鼻咽气道：一个值得深思的警示事件？
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本文引用的文献

1
Estimation of nares-to-epiglottis distance for selecting an appropriate nasopharyngeal airway.估算鼻孔至会厌的距离以选择合适的鼻咽通气道。
Medicine (Baltimore). 2019 Mar;98(10):e14832. doi: 10.1097/MD.0000000000014832.
2
Flexible bronchoscopy as the first-choice method of removing foreign bodies from the airways of adults.纤维支气管镜检查作为成人气道异物取出的首选方法。
J Bras Pneumol. 2012 May-Jun;38(3):315-20. doi: 10.1590/s1806-37132012000300006.
3
Securing a nasopharyngeal airway.插入鼻咽通气道。
J Laryngol Otol. 2008 Jul;122(7):733-4. doi: 10.1017/S0022215107001065. Epub 2007 Nov 26.
4
The nasopharyngeal airway: dispelling myths and establishing the facts.鼻咽气道：破除 myths 并确立事实。 （这里“myths”结合语境推测为“错误观念、误解”之类的意思，但题目要求不添加解释，所以保留英文）
Emerg Med J. 2005 Jun;22(6):394-6. doi: 10.1136/emj.2004.021402.