Kinghorn Katherine, Dhamee Saeed
Department of Anesthesiology, Medical College of Wisconsin, Milwaukee 53226, USA.
Middle East J Anaesthesiol. 2006 Oct;18(6):1203-7.
Paradoxical vocal cord motion (PVCM) is a dysfunction more often seen by otolaryngologists, but of which the anesthesiologist must also be aware of in order to prevent inappropriate invasive airway interventions. For the anesthesiologist, PVCM is most often seen as inspiratory stridor during the postoperative recovery period. Unfortunately, inspiratory stridor can also be a sentinel of impending respiratory failure, and so it is crucial that the serious etiologies be efficiently ruled out. Presented is a case of postoperative PVCM, diagnosed by direct fiberoptic examination, in which timely recognition of this benign, psychogenic postoperative complication resulted in effective and appropriate noninvasive management.
矛盾性声带运动障碍（PVCM）是一种更常被耳鼻喉科医生发现的功能障碍，但麻醉医生也必须了解，以防止不适当的有创气道干预。对于麻醉医生来说，PVCM最常表现为术后恢复期的吸气性喘鸣。不幸的是，吸气性喘鸣也可能是即将发生呼吸衰竭的先兆，因此有效排除严重病因至关重要。本文介绍了一例通过直接纤维喉镜检查诊断的术后PVCM病例，及时识别这种良性的、心因性术后并发症，从而实现了有效且恰当的无创处理。
