Watson William Robert, Wijesinghe Niyomi, Swann Alex, Yates Piers, De Keulenaer Bart
Intensive Care, Fiona Stanley Hospital, Murdoch, Western Australia, Australia
Intensive Care, Fiona Stanley Hospital, Murdoch, Western Australia, Australia.
BMJ Case Rep. 2025 Sep 21;18(9):e265708. doi: 10.1136/bcr-2025-265708.
Angina bullosa haemorrhagica (ABH) is a rare condition in which blood-filled blisters may rapidly form within the oral mucosa. While these blisters often self-resolve without treatment, there have been cases where they have caused airway compromise. We report a case involving a woman in her 70s with known ABH who developed spontaneous bullae which ruptured into the oral cavity during an elective hip replacement. After the bullae ruptured and caused laryngospasm, an emergency tracheal intubation was performed to protect the airway. We note a gap in the literature regarding this patient cohort within the perioperative setting. Given this cohort is at risk of rapidly developing spontaneous bullae, which can predispose to airway emergencies, careful assessment and consideration of elective tracheal intubation may minimise such risk. Additionally, a period of observation in a high dependency unit postoperatively may be advisable.
出血性大疱性心绞痛（ABH）是一种罕见病症，其中充满血液的水疱可能会在口腔黏膜内迅速形成。虽然这些水疱通常无需治疗即可自行消退，但也有病例显示它们会导致气道受压。我们报告了一例涉及一名70多岁患有已知ABH的女性的病例，该患者在择期髋关节置换手术期间出现自发性大疱并破裂进入口腔。大疱破裂并引起喉痉挛后，进行了紧急气管插管以保护气道。我们注意到围手术期该患者群体在文献方面存在空白。鉴于该群体有迅速出现自发性大疱的风险，而这可能导致气道紧急情况，仔细评估并考虑择期气管插管可能会将此类风险降至最低。此外，术后在高依赖病房进行一段时间的观察可能是可取的。
