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熊咬伤致复杂头面部损伤的麻醉管理:一例报告

Anesthesia management of complex head and face injury caused by bear bite: a case report.

作者信息

Wu Shumei, Zhang Jiayao, Zhang Hongcai, Zhang Yan

机构信息

Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

West China School of Nursing, Sichuan University, Chengdu, Sichuan, China.

出版信息

BMC Anesthesiol. 2025 May 24;25(1):260. doi: 10.1186/s12871-025-03129-4.

Abstract

BACKGROUND

Bear bites often cause serious injuries to patients such as on the face, neck, limbs, head and other parts, resulting in difficult airways and presenting great challenges to anesthesia management.

CASE PRESENTATION

This paper reports a case of a 35-year-old Tibetan woman who was severely injured on the face by a bear's attack while grazing, resulting in a difficult airway. Awake tracheal intubation was adopted and tracheostomy was performed during the operation. Airway management of the patient was successfully carried out. During the initial hospitalization, there were no complications related to tracheal intubation in any of the 9 operations, and the patient was discharged smoothly.

CONCLUSION

The key to ensuring the safety and success of the operation is to develop an personalized anesthesia plan based on the specific situation of patients in the difficult airways caused by complex head and face trauma caused by bear bites.

摘要

背景

熊咬伤常导致患者面部、颈部、四肢、头部等部位严重受伤,造成气道困难,给麻醉管理带来巨大挑战。

病例报告

本文报道1例35岁藏族女性,放牧时被熊袭击致面部严重受伤,造成气道困难。采用清醒气管插管,术中行气管切开术,成功实施患者气道管理。住院初期9次手术均未出现与气管插管相关的并发症,患者顺利出院。

结论

对于熊咬伤导致复杂头面部创伤引起的困难气道,根据患者具体情况制定个性化麻醉方案是确保手术安全和成功的关键。

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