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Management of difficult airway in intratracheal tumor surgery

机译：气管内肿瘤手术中困难气道的处理

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Background Tracheal malignancies are usual victim of delay in diagnosis by virtue of their symptoms resembling asthma. Sometimes delayed diagnosis may lead to almost total airway obstruction. For difficult airways, not leaving any possibility of manipulation into neck region or endoscopic intervention, femorofemoral cardiopulmonary bypass can be a promising approach. Case Presentation We are presenting a case of tracheal adenoid cystic carcinoma (cylindroma) occupying about 90% of the tracheal lumen. It was successfully managed by surgical excision of mass by sternotomy and tracheotomy under femorofemoral cardiopulmonary bypass (CPB). Conclusion Any patient with recurrent respiratory symptoms should be evaluated by radiological and endoscopic means earlier to avoid delay in diagnosis of such conditions. Femorofemoral cardiopulmonary bypass is a relatively safe way of managing certain airway obstructions.
机译：背景技术气管恶性肿瘤通常由于其类似于哮喘的症状而延迟诊断。有时延迟诊断可能会导致几乎完全的气道阻塞。对于困难的气道，不给股骨颈区域进行任何操作或进行内窥镜干预的可能性，股骨体外循环可能是一种有前途的方法。病例介绍我们介绍了一个占约90％气管腔的气管腺样囊性癌（圆柱状）病例。通过股骨体外循环（CPB）的胸骨切开术和气管切开术对肿块进行外科手术切除，成功地解决了这一问题。结论对于任何反复出现呼吸道症状的患者，应尽早通过放射和内镜检查，以免延误诊断。股股心肺旁路术是治疗某些气道阻塞的相对安全的方法。

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