经双腔管气管插管后出现一过性双侧声带麻痹——病例报告-。
Transient bilateral vocal cord paralysis after endotracheal intubation with double-lumen tube -A case report-.
机构信息
Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
出版信息
Korean J Anesthesiol. 2010 Dec;59 Suppl(Suppl):S9-S12. doi: 10.4097/kjae.2010.59.S.S9. Epub 2010 Dec 31.
Abstract
Vocal cord paralysis is one of the most serious anesthetic complications related to endotracheal intubation. The practitioner should take extreme care, as bilateral vocal cord paralysis can obstruct the airway and lead to disastrous respiratory problems. There have been many papers on bilateral vocal cord paralysis after neck surgery, but reports on such a condition after lung surgery are very rare. We report a case of bilateral vocal cord paralysis detected after removal of a double-lumen endotracheal tube in a 67-year-old patient who underwent wedge resection by video-assisted thoracoscopic surgery. We also note that he recovered spontaneously without complications within a day.
摘要
声带麻痹是与气管插管相关的最严重的麻醉并发症之一。从业者应格外小心，因为双侧声带麻痹会阻塞气道，导致灾难性的呼吸问题。有很多关于颈部手术后双侧声带麻痹的论文，但关于肺部手术后这种情况的报告非常罕见。我们报告了一例 67 岁患者在接受电视辅助胸腔镜楔形切除术时，拔除双腔气管插管后发现双侧声带麻痹的病例。我们还注意到，他在一天内自行恢复，没有并发症。
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