Jensen V, Milne B, Salerno T
Department of Anaesthesia, Queen's University, Kingston, Ontario.
Can Anaesth Soc J. 1983 May;30(3 Pt 1):270-2. doi: 10.1007/BF03013806.
A case is presented of a female with respiratory distress who was initially treated as having asthma. Her chest x-ray was normal but tracheal tomograms revealed a tracheal tumour almost completely occluding the tracheal lumen. The impending tracheal occlusion was managed with femoral-femoral cardiopulmonary bypass instituted under local anaesthesia prior to induction of anaesthesia and diagnostic bronchoscopy and airway establishment with tracheal intubation. Other indications for the use of cardiopulmonary bypass prior to the induction of anaesthesia are reviewed.
本文报告一例有呼吸窘迫的女性患者，最初被诊断为哮喘进行治疗。其胸部X光片正常，但气管断层扫描显示气管肿瘤几乎完全阻塞气管腔。在诱导麻醉、诊断性支气管镜检查和气管插管建立气道之前，在局部麻醉下通过股-股体外循环处理即将发生的气管阻塞。本文还回顾了在诱导麻醉前使用体外循环的其他指征。
