全身麻醉气管插管后重度支气管痉挛"寂静肺"成功救治1例

A case of successful treatment of severe bronchospasm "silent lung" after tracheal intubation during general anesthesia

围手术期"寂静肺"在临床实践中并不常见,故常常被麻醉医师误诊为发生气道外插管,盲目拔管、再插管等气道内操作均可进一步加重患者气道痉挛症状,从而延误最佳治疗时机,严重威胁患者围手术期的生命安全。文章报告1例患者在麻醉后发生"寂静肺"的成功救治处理,旨为麻醉医师处理围手术期重症支气管痉挛患者提供参考借鉴。

Therefore, health care workers must raise the awareness of "silent lung" during perioperative period, especially for patients with a history of bronchial asthma or recent history of upper respiratory tract infection. By the through preoperative assessment and preparation, the rational use of drugs in order to prevent and control airway hyperresponsiveness, selecting the appropriate airway management tools, and enhancing anesthesia management of perioperative period, all those measures are effective to prevent the occurrence of "silent lung". Meanwhile, health care workers should have the ability to quickly identify and diagnose "silent lung" occurred during perioperative period, give timely and effective treatment, so as to ensure the patients′ safety as possible as they can.