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首页> 外文期刊>麻酔 >睡眠時無呼吸症候群に対する両側扇桃摘除術が施行され抜管直後より著明な舌腫脹のため上気道閉塞を来した1症例
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睡眠時無呼吸症候群に対する両側扇桃摘除術が施行され抜管直後より著明な舌腫脹のため上気道閉塞を来した1症例

机译：由于睡眠呼吸暂停综合征的双侧风扇桃极化引起的上舌肿胀的上气道堵塞的情况，并在外推之后立即。

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摘要

A case of airway obstruction caused by the tongue swelling is reported. The patient is a 5-year-old boy scheduled for bilateral tonsillectomy for sleep apnea syndrome. Anesthesia was slowly induced by sevoflurane and maintained with nitrous oxide, fentanyl and sevoflurane.Bilateral tonsillectomy and adenoidectomy were performed uneventfully under general anesthesia.The operation time was 2 hours and 30 minutes. Following the surgical procedure,the endotracheal tube was removed.Shortly after the extubation,the patient complained of difficult articulation and paradoxical respiration.Trachea was intubated immediately. Oxygen saturation was within normal limits throughout all the procedures.Swelling of the tongue was aggravated and was not relieved by steroid infusion. Massive swelling of the face and neck was observed on the next day. CT scan and fiberoptic scope examination showed the swollen tongue obstructing the upper airway.Additional administration of steroid was continued.On the third postoperative day,edema was relieved and the endotracheal tube was removed.Clinical course after the extubation was uneventful.No laboratory data was obtained suggesting the allergic basis.Extubation should be performed carefully and respiratory condition should be observed cautiously following the oral surgery of even a short duration.
机译：报道了舌头肿胀引起的气道阻塞的情况。患者是一名5岁的男孩，安排了睡眠呼吸暂停综合症的双侧扁桃体切除术。七氟醚缓慢诱导麻醉，并用氧化亚氮，芬太尼和七氟醚维持。在全身麻醉下，不平整地进行一类扁桃体切除术和腺样体切除术。操作时间为2小时30分钟。在外科手术后，移除气管插管。在拔管后提出，患者抱怨难以清晰和矛盾的呼吸。立即提交包膜。在所有程序中，氧饱和度在正常限度范围内。舌头的空间加剧，类固醇输注没有缓解。第二天观察到脸部和颈部的大规模肿胀。 CT扫描和纤维范围检查显示肿胀的舌头阻碍上航道。持续的类固醇给药。术后第三天，水肿被释放，拔管后的气管膜术后。没有实验室数据提出了过敏的基础。诱人应进行诱惑，呼吸状况应在口腔手术后甚至是短暂的持续时间。

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