Giraud O, Lienhard A, Nottet J B, Lenoir B
Département d'anesthésie-réanimation chirurgicale, hôpital d'instruction des Armées Percy, Clamart, France.
Ann Fr Anesth Reanim. 1998;17(1):65-7. doi: 10.1016/s0750-7658(97)80187-6.
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.
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。