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颅骨骨干发育异常;困难插管的另一个原因。

Craniodiaphyseal dysplasia; another cause of difficult intubation.

作者信息

Appleby J N, Bingham R M

机构信息

Department of Anaesthesia, Hospital for Sick Children, Great Ormond Street, London, UK.

出版信息

Paediatr Anaesth. 1996;6(3):225-9. doi: 10.1111/j.1460-9592.1996.tb00433.x.

DOI:10.1111/j.1460-9592.1996.tb00433.x
PMID:8732615
Abstract

A nine-year-old boy with craniodiaphyseal dysplasia (CDD) presented for mandibular reduction. Patients with CDD present problems to the anaesthetist, specifically difficulties with airway management and tracheal intubation. This child was managed using laryngeal mask airway (LMA) guided fibreoptic intubation. Spontaneous respiration was maintained throughout intubation, following which ventilation was controlled and anaesthesia was provided using nitrous oxide, isoflurane and fentanyl. The perioperative management is described.

摘要

一名患有颅骨骨干发育异常(CDD)的9岁男孩因下颌复位前来就诊。患有CDD的患者给麻醉师带来了问题,尤其是气道管理和气管插管困难。该患儿采用喉罩气道(LMA)引导下的纤维支气管镜插管进行处理。插管过程中始终维持自主呼吸,之后控制通气,并使用氧化亚氮、异氟烷和芬太尼实施麻醉。本文描述了围手术期管理情况。

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