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[环杓关节关节炎,一种罕见的插管后并发症及其新治疗方法(作者译)]

[The arthritis of the cricoarytenoid joint, a rare postintubation complication and its novel treatment (author's transl)].

作者信息

Chilla R, Gabriel P

出版信息

Laryngol Rhinol Otol (Stuttg). 1976 May;55(5):389-92.

PMID:135162
Abstract

A case of aphonia following a long-time endotracheal intubation is presented. The paramedian position of the left and the incomplete adduction of the right vocal cord were caused by a complete, respectively partial ankylosis of the cricoarytenoid joints. The ankylosis was the result of an arthritis during the intubation period. A nearly normal mobility of the vocal cords and a normal voice was achieved by translaryngeal injections of Fludrocortisone and Hyaluronidase into the cricoarytenoid joints and by their passive mobilisation.

摘要

本文报告一例长期气管插管后出现失音的病例。左环杓关节完全强直,右环杓关节部分强直,导致左侧声带旁正中位及右侧声带内收不全。关节强直是插管期间关节炎所致。通过向环杓关节经喉注射氟氢可的松和透明质酸酶,并进行被动活动,声带恢复了近乎正常的活动度,嗓音也恢复正常。

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