Stellpflug H, Austermann K H
Prakt Anaesth. 1977 Apr;12(2):131-5.
Anesthesia for surgical treatment of extensive floor of the mouth-neck phlegmons has a particularly high risk rate. The general condition of the patients to be treated is poorer; respiratory passages are constricted by inflammation-induced swelling. The resulting hypoxia is a main factor in the pluricausal origin of hyperreflexia. Three cases selected from the author's own patients show the problems which occur with this particular clinical picture. The consequences of an adequate preparation for and induction of anesthesia were presented.
广泛口底-颈部脓肿手术治疗的麻醉风险率特别高。拟治疗患者的一般状况较差;呼吸道因炎症引起的肿胀而狭窄。由此产生的缺氧是导致反射亢进多因素起源的主要因素。从作者自己的患者中挑选出的三例病例展示了这种特殊临床表现所出现的问题。文中介绍了充分的麻醉准备和诱导的结果。