一个患有大舌腔瘤的患者在全身麻醉期间的气道管理挑战:一个案例报告
Apostolos Ntanasis1, Elisavet Melissi1, Aikaterini Ntaflou1
1Department of Anesthesiology, General Hospital of Ioannina G. Hatzikosta, Ioannina, GRC.
Cureus
|February 24, 2026
概括
口腔血管瘤患者的麻醉管理需要仔细规划. 这项案例研究表明,使用视频喉镜成功诱导全身麻醉和输管,即使是大型的舌头血管瘤.
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:
- 呼吸道妥协在全身麻醉期间带来了挑战.
- 口腔血管瘤,如血管瘤,可以引起显著的出血和呼吸道阻塞.
- 患有血管瘤的患者的麻醉需要仔细的呼吸道管理策略.
研究的目的:
- 介绍一项麻醉管理的案例研究,该案例涉及一名接受手术的大型语言性血管瘤患者.
- 突出口腔血管瘤患者的战略呼吸道管理的重要性.
- 为了证明视频喉腔镜在管理具有挑战性的气道中的成功使用.
主要方法:
- 使用一种案例研究方法,专注于患有子宫内膜癌的82岁女性患者.
- 在手术前的评估中,发现了一种大型的语言洞穴性血管瘤.
- 麻醉诱导,口罩通风和输管使用视频喉镜进行.
主要成果:
- 在没有并发症的情况下成功诱导了全身麻醉.
- 面具通风和输管是通过视频喉镜来促进的.
- 患者经历了无复杂的恢复,并在术后第五天出院.
结论:
- 对于患有口腔血管瘤的患者来说,全面的气道管理策略至关重要.
- 视频喉腔镜可以在具有挑战性的呼吸道场景中实现成功的输管和全身麻醉.
- 战略性气道管理将侵入性或救援性气道技术的需求降至最低.
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