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| 題 名 | Airway Obstruction by a Metastatic Mediastinal Tumor during Anesthesia=由於轉移的縱隔腔腫瘤造成麻醉過程中呼吸道阻塞 |
|---|---|
| 作 者 | 陳聖桓; 徐至清; 呂炳榮; 陳志弘; 楊靖宇; | 書刊名 | 長庚醫學 |
| 卷 期 | 28:4 2005.04[民94.04] |
| 頁 次 | 頁258-263 |
| 分類號 | 416.5 |
| 關鍵詞 | 縱隔腔腫瘤; 呼吸道阻塞; 肺癌; 氣管狹窄; Mediastinal tumor; Airway obstruction; Lung cancer; Tracheal stenosis; |
| 語 文 | 英文(English) |
| 中文摘要 | 一個病患由於下背痛被發現有脊椎的病理性骨折,懷疑是起因於轉移性腫瘤,不過原發之?沒有查出,為了治療背下背疼痛,病人被安排作脊椎固定術,在病患接受全身麻醉後發現呼吸道的阻力突然明顯增加,同時換氣也發生困難,經狺光纖支氣管鏡的檢查發現氣管和支氣管都因為外在壓迫而導致管徑狹窄,在給予neostigmine拮抗神經肌肉阻斷使病患回復自主呼吸之後,呼吸道阻力很快的下?而換氣恢復正常,進一步的檢查發現病患有肺癌縱隔腔轉移並且壓迫呼吸道,經由這個病例我們討論麻醉過程中縱隔需腫瘤壓迫呼吸道的機轉以及處理的方法。 |
| 英文摘要 | A case of low back pain syndrome was diagnosed due to spinal metastasis with unknown primary origin. During anesthesia for surgical stabilization, unexpected airway obstruction occurred after endotracheal intubation. Fiber-optic bronchsocopic examination showed narrowing of the trachea and main bronchi caused by extrinsic compression. After administration of neostigmine to reverse neuromuscular blockade, the patients reumed spontaneous breath. Airway obstruction was relieved thereafter. The extrinsic lesion was diagnosed as mediastinal lung cancer. The mechanism and management of this airway compromise caused by mediastinal tumor is discussed. |
本系統中英文摘要資訊取自各篇刊載內容。