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胸腔镜下气管肿瘤切除加隆突成形术中气道管理一例 被引量:1

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摘要 患者,男, 40 岁, 75kg , ASA Ⅱ 级, NYHA - A 级,因“痰中带血1月余”入院。患者既往有支气管炎病史,长期吸烟史,约 40 支/天。入院诊断:咯血原因待查,慢性支气管炎。胸部 CT 强化 + 气管三维重建示:气管末端左侧不规则结节(图 1 );纤维支气管镜检查示:气管末端菜花样新生物,体积约 1.8cm×1.2cm×1.0cm ,上缘距声门约 9.5cm ,下缘距隆突约 0.5cm ,触之易出血,气管 狭窄程度Cotton Ⅰ 级。病理结果示:气管腺样囊性癌。血气分析:PaO 2 79.9mmHg ,其余各项检查及化验指标未见异常。拟在全身麻醉下行胸腔镜下气管肿瘤切除加隆突成形术。
出处 《临床麻醉学杂志》 CAS CSCD 北大核心 2018年第11期1141-1142,共2页 Journal of Clinical Anesthesiology
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