Exam questionKROK 2Medicine ยท 2019
A 47-year-old man developed the signs of decompensated laryngeal stenosis against the background of acute phlegmonous laryngitis. He presents with inspiratory dyspnea at rest, forced position, cyanotic skin covered in cold sweat, tachycardia, deficient pulse, and low blood pressure. What urgent treatment tactics should be chosen?
Answer options
- Oral administration of hyposensitization substances and broncholytics
- Intravenous administration of dehydrating agents
- Administration of glucocorticoid hormones
- Tracheostomy
- Oxygen therapy
Correct answer
Tracheostomy
Explanation
A 47-year-old man developed the signs of decompensated laryngeal stenosis against the background of acute phlegmonous laryngitis. He presents with inspiratory dyspnea at rest, forced position, cyanotic skin covered in cold sweat, tachycardia, deficient pulse, and low blood pressure. What urgent treatment tactics should be chosen?Oxygen therapy would have been the best option had there not been the Decompensated laryngeal stenosis.Decompensated laryngeal stenosis indicates that the larynx is closed so we need to provide the airway.
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