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目的对晚期肿瘤造成气管狭窄患者突发重度呼吸困难时,紧急采取简便的雾化吸入麻醉联合喉镜直视下行气管内支架置入术的疗效及评价。方法 55例因晚期肿瘤导致气管狭窄突发呼吸困难加重患者,急症气管内支架置入术,其中食管癌32例,肺癌10例,纵隔肿瘤5例,甲状腺癌3例,气管癌3例,软腭癌1例,胃癌1例。抢救后通过症状、体征、影像学改变等观察评价疗效。结果 55例患者抢救均成功,重度呼吸困难即刻改善,并获得继续治疗机会。结论急症采用雾化吸入麻醉联合喉镜直视下气管内支架植入方法简便、迅速、可靠,值得推广。
Objective To evaluate the curative effect and evaluation of emergency inhalation anesthesia combined with laryngoscope under direct tracheal stent placement in patients with severe tracheal stenosis caused by severe tumors. Methods A total of 55 patients with advanced tracheal stenosis and sudden dyspnea were enrolled in this study. Among them, 32 cases were esophageal cancer, 10 cases were lung cancer, 5 cases were mediastinal tumor, 3 cases were thyroid carcinoma, 3 cases were tracheal carcinoma, 1 case of cancer, 1 case of gastric cancer. After the rescue by symptoms, signs, imaging changes such as observation and evaluation of efficacy. Results 55 patients were successfully rescued, severe dyspnea immediately improved, and access to continued treatment opportunities. Conclusions The method of acute traumatic endotracheal intubation using nebulized anesthesia combined with laryngoscope under direct vision is simple, rapid and reliable, which is worthy of popularization.