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末支支支臂治疗期间的麻醉挑战:一个案例报告

Laiza P Teodoro-Teoxon^1,2, Rommel Vincent D Manderico^3,4, Vidal A Esguerra⁵

¹Department of Anesthesiology, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines.

Acta medica Philippina

|June 5, 2024

概括

肺内支气管支气疗法 (EBBT) 为肺癌患者提供有呼吸道阻塞的息护理. 本案例研究详细介绍了COVID-19期间成功的EBBT程序,显示瘤大小的减少和呼吸的改善.

科学领域:

在瘤学瘤学.
肺部病理学肺部病理学
辐射疗法辐射疗法

背景情况:

肺癌是全球癌症死亡的主要原因之一.
内支气管质量可能会导致严重的气道阻塞.
胸内支气管支气管疗法 (EBBT) 是这种阻塞的缓解治疗方法.

研究的目的:

在COVID-19大流行期间报告EBBT的第一个机构病例.
描述EBBT的多学科方法和麻醉方面的考虑.
评估EBBT在减少内支气管质量大小和改善症状方面的有效性.

主要方法:

一名53岁的男性患有状细胞肺癌和阻塞性内支气管质量,接受了EBBT.
在有意识的镇静下,用局部麻醉给出了EBBT的三个部分.
一个多学科的团队 (肺病学,放射瘤学,麻醉学) 参与了规划和执行.
辅助治疗包括ipratropium雾化和 dextromethorphan用于症状管理.

主要成果:

根据计划,EBBT程序顺利完成.
在随后的分数后,观察到内支气管质量大小的定性减少.
患者很好地忍受了手术和麻醉技术.
症状有所改善,包括减少咳和不适.

结论:

EBBT是一种有效的息和治疗模式,用于内肺癌群体.
用局部麻醉进行有意识的镇静是一种适合EBBT的麻醉选择,特别是在严重呼吸道阻塞的情况下.
多学科的方法对于成功的EBBT规划和患者管理至关重要.

关键词:

案例报告案例报告有意识的镇静.德克斯梅德米丁 (Dexmedetomidine) 是一种制剂.德克斯特罗梅多尔 (Dextromethorphan) 是一种可怕的药物.胸内支臂疗法 (endobronchial brachytherapy) 是一种治疗方法.芬太尼 (Fentanyl) 是一种药物.利多卡因 (Lidocaine) 是一种药物.肺癌是一种肺癌.米达佐拉姆 (Midazolam) 是一种药物.

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