Armstrong W B, Peskind S P, Bressler K L, Crockett D M
Department of Otolaryngology-Head and Neck Surgery, University of Southern California School of Medicine, Los Angeles, USA.
Ear Nose Throat J. 1995 Nov;74(11):768-73.
Dyspnea is a fairly common complaint during pregnancy. However, if one excludes allergic nasal congestion of pregnancy, upper airway obstruction is a distinctly uncommon cause of dyspnea in the pregnant patient. Three cases of laryngeal rhinoscleroma in pregnant women requiring tracheostomy for airway management are reported. All three delivered healthy infants vaginally. Postpartum, two of the three were successfully decannulated, while the third became pregnant again before decannulation was accomplished. Treatment options and a review of the literature are presented.
呼吸困难是孕期相当常见的主诉。然而,如果排除孕期过敏性鼻充血,上气道梗阻是孕妇呼吸困难的一种明显不常见的病因。本文报告了3例妊娠合并喉硬结病患者,均因气道管理需要行气管切开术。所有3例患者均经阴道分娩出健康婴儿。产后,3例中有2例成功拔管,而第3例在拔管前再次怀孕。本文介绍了治疗方案并对文献进行了综述。