隐匿性气管淀粉样变性全身麻醉1例并文献复习

The general anesthesia treatment of the patient with the unforeseen tracheal amyloidosis

呼吸系统淀粉样变性少见,气管支气管型更为罕见,具体机制仍不清楚;其临床表现无显著特异性,气管支气管型可无明显临床症状,进一步发展为气道狭窄后可出现缺氧症状,极易出现气管导管置入困难。麻醉诱导时需要引起足够重视。报道1例术前未发现气管淀粉样变性的情况下急诊麻醉诱导气管插管困难的处理,并结合文献分析讨论。

The tracheobronchial amyloidosis is a rare pulmonary disease,especially the tracheobronchial type,but the mechanism remains unknown.The clinical characteristics and manifestations of the disease were not typical.Patients will develop the onset of cyanosis when tracheal stenosis occurs because of the invasion of amyloid.The critical problem of anesthesia is that the suitable tracheal catheter is hard to be insert into the trachea during the induction.An anesthesia treatment and analysis about the patient with tracheal amyloidosis was reported.