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[气管插管引起的杓状软骨脱位]

[Arytenoid dislocation caused by endotracheal intubation].

作者信息

Noda K, Kenshu R, Ohta N

机构信息

Department of Anesthesiology, Osaka Saiseikai Tondabayashi Hospital.

出版信息

Masui. 2000 Apr;49(4):420-2.

Abstract

We experienced arytenoid dislocation in a 17-year-old man with no significant medical history, who underwent anterior cruciate ligament reconstruction under general anesthesia. After induction of anesthesia, the trachea was easily intubated with an 8.0 mm cuffed endotracheal tube. The operation lasted approximately four hours. The patient was extubated uneventfully. On the first operative day, the patient complained of hoarseness. Four weeks had passed before the diagnosis of right arytenoid cartilage dislocation was made by fiberoptic laryngoscopy. Voice therapy was started. Three weeks after starting voice therapy, the patient's voice was restored almost to the preoperative status.

摘要

我们遇到一名17岁男性,无重大病史,在全身麻醉下接受前交叉韧带重建手术时发生了杓状软骨脱位。麻醉诱导后,用一根8.0毫米带套囊的气管内导管轻松完成气管插管。手术持续了约四个小时。患者顺利拔管。在术后第一天,患者主诉声音嘶哑。四周后通过纤维喉镜检查确诊为右侧杓状软骨脱位。开始进行嗓音治疗。开始嗓音治疗三周后,患者的声音几乎恢复到术前状态。

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