Watanabe Fumiaki, Kogure Shuhei, Yamamoto Naoki, Fujii Tarou, Yuasa Uhito, Tokui Toshiya
Department of Thoracic Surgery, Ise Red Cross Hospital, Ise, Japan.
Kyobu Geka. 2013 May;66(5):427-30.
A 75-year-old woman with mesopharyngeal adenocarcinoma underwent left upper lobectomy for lung adenocarcinoma. Before the operation, computed tomography showed no stricture of the trachea, and laryngoscope showed no abnormality of vocal cord. Spiral tube( 7.5 mm I.D.) was used instead. One lung ventilation was achieved using balloon. It took 4 hours and 3 minutes to finish the surgical procedure. After extubation in the operation room, we did not recognize the breathing abnormality and laryngeal nerve palsy. 4 days after the operation, stridor was noticed, and laryngoscopic examination revealed stenosis of glottis due to bilateral laryngeal nerve paralysis. We performed the emergent tracheotomy. 7 days after the operation, nerve paralysis improved.
一名75岁患有中咽腺癌的女性因肺腺癌接受了左上叶切除术。术前，计算机断层扫描显示气管无狭窄，喉镜检查显示声带无异常。改用内径7.5毫米的螺旋管。使用球囊实现了单肺通气。手术过程耗时4小时3分钟。在手术室拔管后，我们未发现呼吸异常和喉返神经麻痹。术后4天，发现有喘鸣音，喉镜检查显示由于双侧喉返神经麻痹导致声门狭窄。我们进行了紧急气管切开术。术后7天，神经麻痹有所改善。
