辐射诱导的鼻纤维化导致呼吸道困难:一个病例报告
Mai Akazawa1, Morihiro Shimizu2, Yoshihisa Fujino1
1Department of Comprehensive Surgery, Shiga University of Medical Science, Shiga, JPN.
Cureus
|March 20, 2025
概括
头部放射治疗增加了鼻癌患者难以呼吸的风险. 手动提升舌头有助于光纤输内管在一个具有挑战性的病例后治疗.
科学领域:
- 麻醉学 麻醉学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 在瘤学瘤学.
背景情况:
- 头癌患者,特别是放射治疗后患者,面临着严重的呼吸道并发症风险.
- 鼻癌治疗通常涉及RT,可能导致影响呼吸道的解剖学变化.
研究的目的:
- 要突出一个难以管理鼻癌患者放射治疗后呼吸道困难的病例.
- 强调在患有辐射诱导变化的患者中保护呼吸道的挑战和潜在解决方案.
主要方法:
- 一个83岁的女性患有鼻癌的病例报告,在放射治疗后出现了呼吸道困难.
- 面罩通风和麦克格拉斯输管试验失败.
- 通过光纤支气管镜术与手动舌头提升成功输入管道.
主要成果:
- 患者表现出三症,部运动受限,Mallampati IV和上唇咬伤测试等级III.
- 支气管镜检查显示了鼻粘膜的不规则性, edematous 尾巴膜和声带.
- 在手动舌头操纵促进声带可视化后,光纤输管成功进行了.
结论:
- 头部放射治疗显著增加了由于辐射诱导纤维化导致的呼吸道困难的风险.
- 先进的气道管理技术,包括光纤支气管镜检查和手动舌头提升等辅助操作,对这些患者至关重要.
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