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[插管失败的一个原因:声门下桥]

[A cause of intubation failure: a subglottic bridge].

作者信息

Giraud O, Lienhard A, Nottet J B, Lenoir B

机构信息

Département d'anesthésie-réanimation chirurgicale, hôpital d'instruction des Armées Percy, Clamart, France.

出版信息

Ann Fr Anesth Reanim. 1998;17(1):65-7. doi: 10.1016/s0750-7658(97)80187-6.

Abstract

We report the case of a patient with a history of facio-thoracic burns, the treatment of which included prolonged intubation, whose trachea could not be intubated because of a subglottic obstacle. The ventilation was easily controlled with a laryngeal mask. At the end of surgery for postburn cheloids, laryngoscopy through the laryngeal mask showed a transversal subglottic laryngeal band, a probable sequela of the previous prolonged intubation. The band was resected one week later. The conventional indicators for difficult intubation cannot detect the laryngotracheal obstacles to tracheal tube insertion.

摘要

我们报告了一例有面颈部烧伤病史的患者,其治疗包括长时间插管,因声门下障碍无法进行气管插管。使用喉罩可轻松控制通气。在烧伤后瘢痕疙瘩手术结束时,通过喉罩进行喉镜检查发现一条声门下横向喉带,这可能是之前长时间插管的后遗症。一周后切除了该喉带。传统的困难插管指标无法检测到气管插管时的喉气管障碍。

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