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复发性呼吸道乳头状瘤病的急诊减瘤手术:一项麻醉挑战

Emergency Debulking of Recurrent Respiratory Papillomatosis: An Anesthesia Challenge.

作者信息

Padvi Amit, Padvi Namita

机构信息

Anesthesiology, Al Jalila Children's Hospital, Dubai, ARE.

Anesthesiology, Emirates Hospital, Dubai, ARE.

出版信息

Cureus. 2024 Nov 25;16(11):e74404. doi: 10.7759/cureus.74404. eCollection 2024 Nov.

DOI:10.7759/cureus.74404
PMID:39723302
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11669302/
Abstract

Recurrent respiratory papillomatosis (RRP) is a rare condition involving the recurrent growth of benign papillomas in the respiratory tract caused exclusively by human papillomavirus (HPV). We present the case of a five-year-old child who arrived at the emergency department with severe respiratory distress, hoarseness, and biphasic stridor. The patient required urgent transfer to the operating room for the emergency debridement of papillomas. Managing emergency pediatric airway obstruction poses significant anesthetic challenges and requires specialized skills and dedicated pediatric tertiary care facilities.

摘要

复发性呼吸道乳头状瘤病(RRP)是一种罕见疾病,由人乳头瘤病毒(HPV)单独引起,表现为呼吸道内良性乳头状瘤反复生长。我们报告一例5岁儿童病例,该患儿因严重呼吸窘迫、声音嘶哑和双相性喘鸣而被送至急诊科。患者需要紧急转至手术室进行乳头状瘤的急诊清创。处理小儿紧急气道梗阻带来了重大的麻醉挑战,需要专业技能和专门的儿科三级护理设施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/799f/11669302/ee8287865e69/cureus-0016-00000074404-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/799f/11669302/6c55f9b37c3e/cureus-0016-00000074404-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/799f/11669302/ee8287865e69/cureus-0016-00000074404-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/799f/11669302/6c55f9b37c3e/cureus-0016-00000074404-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/799f/11669302/ee8287865e69/cureus-0016-00000074404-i02.jpg

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本文引用的文献

1
HPV and Recurrent Respiratory Papillomatosis: A Brief Review.人乳头瘤病毒与复发性呼吸道乳头状瘤病:简要综述
Life (Basel). 2021 Nov 22;11(11):1279. doi: 10.3390/life11111279.
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Recurrent Respiratory Papillomatosis With Complete Response to Systemic Bevacizumab Therapy.复发性呼吸道乳头瘤病,系统使用贝伐珠单抗治疗后完全缓解。
Ear Nose Throat J. 2024 Feb;103(2):100-101. doi: 10.1177/01455613211040578. Epub 2021 Aug 15.
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Recurrent respiratory papillomatosis: A state-of-the-art review.复发性呼吸道乳头状瘤病:最新综述。
Respir Med. 2017 May;126:116-121. doi: 10.1016/j.rmed.2017.03.030. Epub 2017 Apr 1.
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Recurrent respiratory papillomatosis: current and future perspectives.复发性呼吸道乳头状瘤病:现状与未来展望
Ther Clin Risk Manag. 2015 May 5;11:731-8. doi: 10.2147/TCRM.S81825. eCollection 2015.
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Recurrent respiratory papillomatosis.复发性呼吸道乳头状瘤病
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Laryngoscopy in conscious patients with remifentanil: how useful is an "awake look"?清醒患者瑞芬太尼麻醉下喉镜检查:“清醒窥视”有多大用处?
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Recurrent respiratory papillomatosis: a review.复发性呼吸道乳头状瘤病:综述
Laryngoscope. 2008 Jul;118(7):1236-47. doi: 10.1097/MLG.0b013e31816a7135.
9
Airway management and anesthesia in neonates, infants and children during endolaryngotracheal surgery.新生儿、婴儿及儿童在气管内手术期间的气道管理与麻醉
Paediatr Anaesth. 2007 Oct;17(10):942-7. doi: 10.1111/j.1460-9592.2007.02300.x.
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Overview of recurrent respiratory papillomatosis.复发性呼吸道乳头状瘤病概述。
Curr Opin Otolaryngol Head Neck Surg. 2003 Dec;11(6):433-41. doi: 10.1097/00020840-200312000-00005.