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首页> 外文期刊>麻酔 >Anesthetic management for a patient with severely obstructed upper airway undergoing CO2 laser resection of the tracheal tumor
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Anesthetic management for a patient with severely obstructed upper airway undergoing CO2 laser resection of the tracheal tumor

机译：上呼吸道严重阻塞患者行气管肿瘤CO2激光切除的麻醉管理

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摘要

A 76-year-old woman was scheduled to undergo a laser resection of the tracheal tumor which severely obstructed the upper airway. She had a past history of thoracic aortic aneurysm resection and myocardial infarction. After spraying the patient's oral cavity with 8% lidocaine, a laryngeal mask airway was inserted under spontaneous respiration. Tumor resection was successfully performed using CO2 laser through the laryngeal mask airway with the aid of low dose fentanyl under spontaneous respiration. Maintaining FIO2 at 0.5 could prevent hypoxemia. Although mild edema was observed in the larynx at the completion of the surgery, the patient achieved remarkable improvement in her breathing status. Consequently, she was able to undergo radiotherapy on the 5th postoperative day. This effectively reduced the tumor volume.
机译：计划对一名76岁的女性进行激光切除气管肿瘤的手术，该手术严重阻塞了上呼吸道。她有胸主动脉瘤切除和心肌梗塞的历史。向患者的口腔喷洒8％的利多卡因后，在自然呼吸下插入喉罩气道。在自主呼吸下，借助低剂量的芬太尼，使用CO2激光通过喉罩气道成功进行了肿瘤切除。将FIO2维持在0.5可以预防低氧血症。尽管在手术结束时在喉头观察到轻度水肿，但患者的呼吸状况有了明显改善。因此，她能够在术后第5天接受放射治疗。这有效地减小了肿瘤体积。

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