经气管切开处支气管异物取出麻醉管理1例
Medical Journal of National Defending Forces in Southwest China（2019）
Abstract
病例 男,68岁,因“喉癌切除术后2个月,畏寒、发热、头痛4d”入院.气切导管在位,咳嗽、痰多,呈黄色,体温最高39.2℃.既往有低血压病史,长期吸烟史.胸部听诊:左下肺可闻及少量湿性啰音.CT检查示:左下肺支气管异物(图1)并左肺下叶大叶性肺炎,左侧少量胸腔积液;血常规:白细胞16.47× 109/L,嗜中性粒细胞绝对值12.74× 109/L;C-反应蛋白89 mg/L,余无明显异常.拟行“经气管切开处硬性支气管镜异物取出术”.
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