METHODS: A 52-year-old male patient was admitted to the hospital due to cough and expectoration for one year. Additionally, the patient experienced chest tightness and asthma after physical activity. The enhanced computed tomography revealed there existed an irregular soft tissue mass in the right upper mediastinum, which significantly compressed the trachea and esophagus. The results of the mediastinal puncture pathology showed the presence of mesenchymal tumors. According to the results above, the patient was diagnosed with a mediastinal tumor and scheduled to undergo tumor resection under general anesthesia. We used a bronchial occluder outside the tracheal tube for general anesthesia. After surgery, the patient received thorough treatment and was subsequently discharged from the hospital.
CONCLUSIONS: In patients with severe airway compression from a mediastinal tumor airway compression, positioning a bronchial occluder externally to the tracheal tube is an effective method of airway management. However, we still need more clinical practice to help the process become more standardized.
方法:一名52岁男性患者因咳嗽咳痰1年入院。此外,患者在体力活动后出现胸闷和哮喘。增强的计算机断层扫描显示右上纵隔存在不规则的软组织肿块,显著压缩了气管和食道。纵隔穿刺病理成果显示存在间充质肿瘤。根据上述结果,患者被诊断为纵隔肿瘤,并计划在全身麻醉下进行肿瘤切除术。我们使用气管导管外的支气管封堵器进行全身麻醉。手术后,患者接受了彻底治疗,随后出院。
结论:纵隔肿瘤气道压迫导致严重气道压迫的患者,将支气管封堵器置于气管导管外部是一种有效的气道管理方法。然而,我们仍然需要更多的临床实践来帮助该过程变得更加标准化。