Emergency and Critical Care Medicine, Hyogo Emergency Medical Center, Kobe, Hyogo, Japan.
Emergency and Critical Care Medicine, Hyogo Emergency Medical Center, Kobe, Hyogo, Japan
BMJ Case Rep. 2024 Sep 3;17(9):e259947. doi: 10.1136/bcr-2024-259947.
This was the case of a male patient in his 60s, who suddenly collapsed. When the ambulance team arrived, the initial waveform was pulseless electrical activity; accordingly, a supraglottic airway device was inserted, and the patient was immediately transported to a referring hospital. On arrival, the patient resumed spontaneous circulation, the patient was diagnosed with Stanford type B acute aortic dissection and was referred to the author's hospital, where diffuse swelling of the anterior cervical region was revealed. CT performed by the previous hospital revealed compression of the trachea. The cause of cardiac arrest was considered to be severe airway stenosis secondary to a retropharyngeal haematoma associated with Stanford type B acute aortic dissection. Stanford type B acute aortic dissection can be complicated by retropharyngeal haematomas, which can lead to airway obstruction and even cardiac arrest. This condition also requires careful airway examination.
这是一位 60 多岁男性患者的病例，他突然昏倒。当救护队到达时，初始的波形是无脉性电活动；因此，插入了声门上气道装置，并立即将患者转运至转诊医院。到达后，患者恢复了自主循环，患者被诊断为斯坦福 B 型急性主动脉夹层，并被转至作者所在的医院，在那里发现了前颈部区域弥漫性肿胀。前一家医院进行的 CT 检查显示气管受压。心脏骤停的原因被认为是与斯坦福 B 型急性主动脉夹层相关的咽后血肿引起的严重气道狭窄。斯坦福 B 型急性主动脉夹层可并发咽后血肿，可导致气道阻塞甚至心脏骤停。这种情况还需要仔细进行气道检查。
