Segebarth P Bradley, Limbird Thomas J
Vanderbilt University Medical Center, Nashville, Tennessee, USA.
J Arthroplasty. 2007 Sep;22(6):916-9. doi: 10.1016/j.arth.2006.06.013. Epub 2007 Mar 28.
Although airway obstruction secondary to cricoarytenoid arthritis is an infrequent perioperative complication of rheumatoid arthritis, it must be promptly recognized and appropriately managed to avoid fatal consequences. We report a case of cricoarytenoid dysfunction leading to acute respiratory insufficiency requiring tracheostomy in the immediate postoperative period after total knee arthroplasty in a patient with severe rheumatoid arthritis.
尽管环杓关节炎继发的气道梗阻是类风湿关节炎罕见的围手术期并发症，但必须迅速识别并妥善处理，以避免致命后果。我们报告一例严重类风湿关节炎患者在全膝关节置换术后即刻发生环杓关节功能障碍，导致急性呼吸功能不全，需要行气管切开术。
