1 案例资料 简要案情 王某,男,30岁。于某日6时30分以“急性喉阻塞”急诊入院。入院时有Ⅱ°吸气性呼吸困难,声嘶、咽痛、发热(38.1℃),给予吸氧及静滴地塞米松10 mg。7时左右,呼吸困难突然加重(Ⅲ°～Ⅳ°),立即行环甲膜穿刺,同时行床边紧急气管切开术。在行切过程中,由于病人体形肥胖及燥动不安,气管暴露欠佳,气管套管插入困难,连续5～6次插入才达气管,此时病人呼吸已停止。经紧急抢救30 min后,瞳孔散大,心电图示心跳消失,于7时30分死亡。 1 case information brief case Wang, male, 30 years old. At 6:30 on the day with “acute laryngeal obstruction” emergency admission. Admission Ⅱ ° aspiration breathing difficulties, hoarseness, sore throat, fever (38.1 ℃), given oxygen and intravenous dexamethasone 10 mg. About 7 o’clock, dyspnea suddenly aggravated (Ⅲ ° ~ Ⅳ °), immediate annular puncture, while bedside emergency tracheotomy. In the process of cut, due to the patient’s body fat and restlessness, poor tracheal exposure, tracheal tube insertion difficulties, continuous insertion of 5 to 6 tracheal, this time the patient has stopped breathing. After emergency rescue 30 min, mydriasis, ECG disappeared heartbeat, died at 7:30.