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塔皮亚综合征——心脏手术后的一种罕见并发症。

Tapia's syndrome--a rare complication following cardiac surgery.

作者信息

Nalladaru Zubin, Wessels Andre, DuPreez Leon

机构信息

Department of Cardiac Surgery, The City Hospital, Dubai Health Care City, Dubai, United Arab Emirates.

出版信息

Interact Cardiovasc Thorac Surg. 2012 Jan;14(1):131-2. doi: 10.1093/icvts/ivr056. Epub 2011 Nov 17.

DOI:10.1093/icvts/ivr056
PMID:22108947
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3420299/
Abstract

Tapia's syndrome is a rare complication following cardiac surgery. It includes the extracranial involvement of the recurrent laryngeal nerve and the hypoglossal nerve and results in ipsilateral paralysis of the vocal cord and the tongue. It is usually a complication related to anaesthesia and positioning of the head of the patient during surgery. We describe this rare complication which occurred at our institute. A 49-year old man developed Tapia's syndrome after an uneventful coronary artery bypass surgery. He complained of dysphonia, hoarseness of voice and an inability to swallow soon after extubation. The syndrome resolved completely over the following weeks with no neurological deficit.

摘要

塔皮亚综合征是心脏手术后一种罕见的并发症。它包括喉返神经和舌下神经的颅外受累，导致同侧声带和舌麻痹。它通常是与手术期间麻醉及患者头部位置相关的并发症。我们描述了在我们研究所发生的这一罕见并发症。一名49岁男性在冠状动脉搭桥手术顺利完成后出现了塔皮亚综合征。拔管后不久，他就抱怨发音困难、声音嘶哑且无法吞咽。该综合征在接下来的几周内完全缓解，没有神经功能缺损。

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2
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Acta Otorhinolaryngol Ital. 2006 Aug;26(4):219-21.
3
Pediatric vocal fold paralysis after cardiac surgery: rate of recovery and sequelae.心脏手术后小儿声带麻痹：恢复率及后遗症
Otolaryngol Head Neck Surg. 2007 Nov;137(5):780-4. doi: 10.1016/j.otohns.2007.07.028.
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Postoperative airway obstruction due to Tapia's syndrome after coronary bypass grafting surgery.冠状动脉搭桥手术后因塔皮亚综合征导致的术后气道梗阻
Eur J Anaesthesiol. 2007 Apr;24(4):378-9. doi: 10.1017/S0265021506001542. Epub 2006 Nov 7.
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Vocal cord palsy as a complication of adult cardiac surgery: surgical correlations and analysis.成人心脏手术并发症声带麻痹：手术相关性及分析
Eur J Cardiothorac Surg. 2004 Oct;26(4):773-5. doi: 10.1016/j.ejcts.2004.06.003.
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Isolated bilateral paralysis of the hypoglossal nerve after transoral intubation for general anesthesia.全身麻醉经口插管后孤立性双侧舌下神经麻痹
Anesthesiology. 2002 Jan;96(1):245-7. doi: 10.1097/00000542-200201000-00040.
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