结节性甲状腺肿术后喉头水肿1例
摘要
<正>喉头水肿是因为各种原因导致的咽喉部黏膜急性肿胀,继而堵塞上呼吸道引起的急症,若未能紧急处理则会危及生命,除药物过敏这类常见的原因之外~([1]),与手术相关的主要因素是气管插管。甲状腺术后喉头水肿文献报道较为少见,现将我院发生的1例报道分析如下。1病例报告患者,男,89岁,因进行性呼吸困难3个月而入住我院甲状腺外科,术前CT平扫显示:甲状腺左侧叶胸骨后甲状腺肿压迫气管(气管最狭窄处横径
引文
[1] 刘会民,陈曙峰.药源性喉头水肿261例文献分析[J].天津药学,2009,21(5):16-18.Liu HM,Chen SF.Analysis of 261 cases of drug-induced laryngeal edema[J].Tianjin Pharmacy,2009,21(5):16-18.
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[3] 郭永盛,邹映雪,沈阳.布地奈德雾化佐治小儿气管插管拔管后的临床疗效观察[J].天津医药,2017,45(7):719-722.Guo YS,Zou YX,Shen Y,et al.Clinical observation of budesonide in the treatment of children with tracheal intubation after extubation [J].Tianjin Medical Journal,2017,45(7):719-722.
[4] Pluijms WA,van Mook WN,Wittekamp BH,et al.Postextubation laryngeal edema and stridor resulting in respiratory failure in critically ill adult patients:updated review[J].Crit Care,2015,19:295.
[5] Martis C,Athanassiades S.Post-thyroidectomy laryngeal edema.A survey of fifty-four cases[J].Am J Surg,1971,122(1):58-60.
[6] 程勇,黄晓元,张明华,等.176 例气管吸入性损伤气管切开治疗的分析[J].中国耳鼻咽喉颅底外科杂志,2006,12(1):52-54.Cheng Y,Huang XY,Zhang MH,et a1.Analysis of 176 cases of tracheal inhalation injury with tracheotomy[J].Chin J Otorhinolaryngol Skull Base Surg,2006,12(1):52-54.
[7] 王挥戈.中国12 家系遗传性血管神经性喉水肿53例[J].中国耳鼻咽喉颅底外科杂志,1995,1(2):107-111.Wang HG.53 case with hereditory angioneurotic laryngeal edema(HALE) from 12 Chinese genealogical trees[J].Chin J Otorhinolaryngol Skull Base Surg,1995,1(2):107-111.
[8] 孙辉,刘晓莉.甲状腺术后窒息原因与处理[J/CD].中华普外科手术学杂志(电子版),2013,7(4):254-257.Sun H,Liu XL.Etiology and emergency management of asphyxia after Thyroidectomy [J/CD].Chinese Journal of Operative Procedures of General Surgery (Electronic Edition),2013,7(4):254-257.
[9] Roberts RJ,Welch SM,Devlin JW.Corticosteroids for prevention of postextubation laryngeal edema in adults[J].Ann Pharmacother,2008,42(5):686-691.
[2] Hurtado-López LM,Zaldivar-Ramirez FR,Basurto Kuba E,et al.Causes for early reintervention after thyroidectomy[J].Med Sci Monit,2002,8(4):CR247-250.
[3] 郭永盛,邹映雪,沈阳.布地奈德雾化佐治小儿气管插管拔管后的临床疗效观察[J].天津医药,2017,45(7):719-722.Guo YS,Zou YX,Shen Y,et al.Clinical observation of budesonide in the treatment of children with tracheal intubation after extubation [J].Tianjin Medical Journal,2017,45(7):719-722.
[4] Pluijms WA,van Mook WN,Wittekamp BH,et al.Postextubation laryngeal edema and stridor resulting in respiratory failure in critically ill adult patients:updated review[J].Crit Care,2015,19:295.
[5] Martis C,Athanassiades S.Post-thyroidectomy laryngeal edema.A survey of fifty-four cases[J].Am J Surg,1971,122(1):58-60.
[6] 程勇,黄晓元,张明华,等.176 例气管吸入性损伤气管切开治疗的分析[J].中国耳鼻咽喉颅底外科杂志,2006,12(1):52-54.Cheng Y,Huang XY,Zhang MH,et a1.Analysis of 176 cases of tracheal inhalation injury with tracheotomy[J].Chin J Otorhinolaryngol Skull Base Surg,2006,12(1):52-54.
[7] 王挥戈.中国12 家系遗传性血管神经性喉水肿53例[J].中国耳鼻咽喉颅底外科杂志,1995,1(2):107-111.Wang HG.53 case with hereditory angioneurotic laryngeal edema(HALE) from 12 Chinese genealogical trees[J].Chin J Otorhinolaryngol Skull Base Surg,1995,1(2):107-111.
[8] 孙辉,刘晓莉.甲状腺术后窒息原因与处理[J/CD].中华普外科手术学杂志(电子版),2013,7(4):254-257.Sun H,Liu XL.Etiology and emergency management of asphyxia after Thyroidectomy [J/CD].Chinese Journal of Operative Procedures of General Surgery (Electronic Edition),2013,7(4):254-257.
[9] Roberts RJ,Welch SM,Devlin JW.Corticosteroids for prevention of postextubation laryngeal edema in adults[J].Ann Pharmacother,2008,42(5):686-691.