表面麻醉气管支架联合清醒插管在甲状腺肿瘤致严重气管狭窄中的应用:2例病例报道  

Application of tracheal stent followed by awaking intubation for topical anesthesia in severe tracheal stenosis caused by thyroid tumor:a report of two cases

作　　者：钟薇薇[1] 刘洋[1] 汪江 汪名权[2] 赵益[3] 徐光红[1] Zhong Weiwei;Liu Yang;Wang Jiang;Wang Mingquan;Zhao Yi;Xu Guanghong(Department of Anesthesiology,the First Affiliated Hospital of Anhui Medical University,Hefei 230032,China;Department of Intervention Therapy,the First Affiliated Hospital of Anhui Medical University,Hefei 230032,China;Department of Otolaryngology,the First Affiliated Hospital of Anhui Medical University,Hefei 230032,China)

机构地区：[1]安徽医科大学第一附属医院麻醉科,合肥230032 [2]安徽医科大学第一附属医院介入科,合肥23003 [3]安徽医科大学第一附属医院耳鼻喉头颈外科,合肥230032

出　　处：《国际麻醉学与复苏杂志》2022年第9期963-967,共5页International Journal of Anesthesiology and Resuscitation

摘　　要：围手术期气道管理与麻醉的安全和质量密切相关。甲状腺肿瘤[气管外和(或)气管内肿瘤]致气管严重狭窄将加剧气道管理的难度。文章报道2例经气管支架联合清醒镇静表面麻醉成功处理甲状腺肿瘤所致气管严重狭窄合并Ⅲ至Ⅳ度呼吸困难气道的案例,为此类患者的气道管理提供临床参考。Perioperative airway management is closely related to the safety and quality of anesthesia.Tracheal stenosis caused by thyroid tumor(extratracheal and/or intratracheal tumors)undoubtedly poses a challenge in airway management.The current study reports two cases of thyroid tumor patients with obvious tracheal stenosis and degreeⅢtoⅣdyspnea due to thyroid tumor who were successfully treated by tracheal stent combined with topical anesthesia for conscious sedation,so as to provide reference for airway management of such difficult airway patients.

关 键 词：甲状腺肿瘤 气管狭窄 困难气道 呼吸困难 气管支架 表面麻醉 

分 类 号：R614[医药卫生—麻醉学] R736.1[医药卫生—外科学]