用阿片类药物治疗喘鸣：一个具有挑战性的矛盾声带运动病例。

Treating stridor with opioids: a challenging case of paradoxical vocal cord movement.

机构信息

Department of Anesthesiology, The Mount Sinai Medical Center, Box 1010, New York, NY 10029-6574, USA.

出版信息

J Clin Anesth. 2010 Mar;22(2):130-1. doi: 10.1016/j.jclinane.2009.02.009.

DOI:10.1016/j.jclinane.2009.02.009

PMID:20304356

Abstract

A 61 year-old patient with a history of anxiety disorder presented with stridor after an uneventful laparotomy with a general anesthetic. Postoperative analgesia was withheld secondary to intermittent oxygen desaturation. She was unresponsive to standard therapies, including racemic epinephrine and albuterol nebulizers. An otolaryngology consultant performed fiberoptic laryngoscopy and paradoxical vocal cord movement was diagnosed. When fentanyl was subsequently administered to treat her pain, the stridor resolved.

摘要

一位 61 岁的患者，有焦虑障碍病史，在全身麻醉下进行了一次无并发症的剖腹手术后出现喘鸣。由于间歇性氧饱和度下降，术后镇痛被推迟。她对标准治疗（包括消旋肾上腺素和沙丁胺醇雾化吸入）无反应。耳鼻喉科顾问进行了纤维喉镜检查，诊断为声带反常运动。当随后给予芬太尼治疗她的疼痛时，喘鸣消失。