熊咬伤致复杂头面部损伤的麻醉处理1例。

IF 2.6 3区 医学 Q2 ANESTHESIOLOGY
Shumei Wu, Jiayao Zhang, Hongcai Zhang, Yan Zhang
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引用次数: 0

摘要

背景:熊咬伤常对患者造成严重伤害,如面部、颈部、四肢、头部等部位,造成气道困难,给麻醉管理带来很大挑战。病例介绍:本文报告了一位35岁藏族妇女在放牧时被熊袭击,面部严重受伤,导致呼吸道困难的病例。术中采用清醒气管插管,行气管切开术。成功地对患者进行了气道管理。入院初期,9次手术均未发生气管插管相关并发症,患者顺利出院。结论:针对熊咬伤所致复杂头面外伤患者气道困难的具体情况,制定个性化的麻醉方案是保证手术安全和成功的关键。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Anesthesia management of complex head and face injury caused by bear bite: a case report.

Background: Bear bites often cause serious injuries to patients such as on the face, neck, limbs, head and other parts, resulting in difficult airways and presenting great challenges to anesthesia management.

Case presentation: This paper reports a case of a 35-year-old Tibetan woman who was severely injured on the face by a bear's attack while grazing, resulting in a difficult airway. Awake tracheal intubation was adopted and tracheostomy was performed during the operation. Airway management of the patient was successfully carried out. During the initial hospitalization, there were no complications related to tracheal intubation in any of the 9 operations, and the patient was discharged smoothly.

Conclusion: The key to ensuring the safety and success of the operation is to develop an personalized anesthesia plan based on the specific situation of patients in the difficult airways caused by complex head and face trauma caused by bear bites.

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来源期刊
BMC Anesthesiology
BMC Anesthesiology ANESTHESIOLOGY-
CiteScore
3.50
自引率
4.50%
发文量
349
审稿时长
>12 weeks
期刊介绍: BMC Anesthesiology is an open access, peer-reviewed journal that considers articles on all aspects of anesthesiology, critical care, perioperative care and pain management, including clinical and experimental research into anesthetic mechanisms, administration and efficacy, technology and monitoring, and associated economic issues.
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