急诊胃肠道手术麻醉诱导后隐性误吸一例

A Case of Recessive Aspiration after Anesthesia Induction in Emergency Gastrointestinal Surgery

误吸当时(>1 min)不出现咳嗽等外部体征,没有刺激性呛咳、气急等症状,称为隐性误吸,常被漏诊。误吸可导致吸入性肺炎、吸入性肺泡炎、肺脓肿和气道阻塞等。若不及时处理,往往造成严重的肺部损伤甚至窒息可能。本例患者在麻醉诱导后发生隐性误吸,并未出现呛咳、呕吐及明显反流症状。通过报道对该患者的处理,以期提高临床医生对反流误吸的警惕性。

At the time of aspiration (>1 min), there are no external signs such as cough, irritant choking, shortness of breath and other symptoms, which is called recessive aspiration and often missed di-agnosis. Aspiration can lead to aspiration pneumonia, aspiration alveolitis, lung abscess and airway obstruction. If not treated immediately, it often causes serious lung damage and even asphyxia. Af-ter anesthesia induction, this patient had a recessive aspiration, and did not have cough, vomiting and obvious reflux symptoms. By reporting the treatment of this patient, we hope to improve the vigilance of clinicians on reflux aspiration.