Kwok Angel O K, Silbert Brendan S, Allen Kara J, Bray Peter J, Vidovich John
Department of Anaesthesiology and Operating Theatre Services, Kwong Wah Hospital, Kowloon, Hong Kong, China.
Anesth Analg. 2006 Feb;102(2):376-7. doi: 10.1213/01.ane.0000189189.47768.42.
We describe a case of vocal cord palsy leading to respiratory obstruction during carotid endarterectomy under cervical plexus block in a patient who had preexisting contralateral vocal cord paralysis subsequent to a previous thyroidectomy. The patient required immediate tracheal intubation and subsequent tracheostomy to maintain the airway postoperatively. Care must be given to avoid contralateral vocal cord paralysis in the presence of a preexisting vocal cord palsy.
我们描述了一例在颈丛阻滞下行颈动脉内膜切除术期间出现声带麻痹导致呼吸梗阻的病例，该患者既往有甲状腺切除术后对侧声带麻痹。患者术后需要立即气管插管及随后行气管切开术以维持气道通畅。对于已有声带麻痹的患者，必须注意避免出现对侧声带麻痹。
