复发性多软骨炎患者肺癌根治术麻醉管理1例  

Perioperative management of a patient with relapsing polychondritis undergoing radical operation for lung cancer:A case report

作　　者：赵玉华 韩雪萍[1] 袁静静[1] Zhao Yuhua;Han Xueping;Yuan Jingjing(Department of Anesthesiology,Pain and Perioperative Medicine,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院麻醉与围术期医学部,郑州450052

出　　处：《国际麻醉学与复苏杂志》2023年第2期179-182,共4页International Journal of Anesthesiology and Resuscitation

摘　　要：复发性多软骨炎(relapsing polychondritis,RP)是一种自身免疫性疾病,患者可出现气道狭窄、分泌物增多和肺部感染。文章报道了1例RP患者行肺癌根治手术的围手术期麻醉管理。该患者因咳嗽胸闷症状入院,诊断为肺腺癌合并肺部感染、RP,拟行胸腔镜下右肺下叶癌根治术。术前积极控制感染,术中全麻下左侧双腔气管导管插管,由于单肺通气时SpO_(2)难以维持,在间断双肺通气下完成手术。术后顺利拔除气管导管,经治疗后出院,后又因肺部感染再次入院。该病例提示麻醉医师对于RP患者需特别注意围手术期气道管理。Relapsing polychondritis(RP)is an autoimmune disease that may develop narrowing of the airway,lung infection,and increased secretion.This paper reported the perioperative management of a patient with RP undergoing radical surgery for lung cancer.The patient was diagnosed with lung adenocarcinoma with a lung infection,and RP was admitted due to a cough and chest tightness.The patient will be performed thoracoscopic radical resection of the right lower lobe carcinoma.Infection was controlled before surgery,and the left double-lumen endotracheal catheter was intubated under general anesthesia during surgery.Since SpO_(2) was challenging to maintain,the surgery was completed under intermittent double-lung ventilation.After the surgery,the tracheal tube was removed successfully.Then this patient was discharged from the hospital.Later,this patient was readmitted due to a lung infection.This case suggests that anesthesiologists should pay attention to perioperative airway management in patients with RP.

关 键 词：复发性多软骨炎 胸外科 气道管理 

分 类 号：R614[医药卫生—麻醉学] R734.2[医药卫生—外科学]