一例Mallampati 4级的库兴综合征合并纳尔逊综合征患者经咬上唇试验成功预测气管插管顺利  

作　　者：Zahid Hussain Khan Mahin Gharabaghian Ferozeh Nilli Mehdi Ghiamat Mostafa Mohammadi 倪雪君(译) 杜冬萍(校) 

机构地区：[1]Department of Anesthesiology, School Tehran, Imam I(homeniof Medicine, Medical Sciences/University ofMedical Center, Tehran, Iran [2]不详

出　　处：《麻醉与镇痛》2008年第5期20-22,共3页Anesthesia & Analgesia

摘　　要：一位31岁女性，合并患有库兴综合征和纳尔逊综合征，拟行经蝶窦垂体切除术。该患者临床表现为全身水肿和病态肥胖，既往有睡眠呼吸暂停的病史。她的Mallampati气道分级为4级，预示插管将相当困难，但是咬上唇试验提示插管容易。在快速顺序诱导后，喉镜下气道分级1级，气管插管顺利完成。A 31-yr-old woman with concurrent Cushing＇s and Nelson＇s syndromes was scheduled for transsphenoidal hypophysectomy. The patient had generalized edema, morbid obesity, and a history of sleep apnea. Her Mallampati assessment was Class 4, suggesting very difficult intubation, but the upper lip bite test predicted easy intubation. After rapid sequence induction, there was a Class 1 view on laryngoscopy, and inmbation was accomplished easily.

关 键 词：库兴综合征 气管插管 试验 上唇 预测 睡眠呼吸暂停 快速顺序诱导 垂体切除术 

分 类 号：R586.2[医药卫生—内分泌] R614[医药卫生—内科学]