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气管插管拔管后对一名反常声带运动患者应用持续气道正压通气的有效性:一例报告

Effectiveness of applying continuous positive airway pressure in a patient with paradoxical vocal fold movement after endotracheal extubation: a case report.

作者信息

Shin Yeun Hee, Song Keu La Me, Ko Dong Chan, Pin Jung Woo, Ryu Kyong Ho, Kim Hyun Soo

机构信息

Department of Anesthesiology and Pain Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.

出版信息

Korean J Anesthesiol. 2016 Feb;69(1):84-7. doi: 10.4097/kjae.2016.69.1.84. Epub 2016 Jan 28.

Abstract

Paradoxical vocal fold movement (PVFM) is an uncommon upper airway disorder defined as paradoxical adduction of the vocal folds during inspiration. The etiology and treatment of PVFM are unclear. The physician should manage this condition because of the possibility of near complete airway obstruction in severe case of PVFM. We report a case of successful airway management in a patient with PVFM by applying continuous positive airway pressure (CPAP). In this case, PVFM was detected after removing an endotracheal tube from a 67-year-old male who underwent excision of a laryngeal mass. The patient recovered without complications in 1 day with support by CPAP.

摘要

矛盾性声带运动障碍(PVFM)是一种罕见的上气道疾病,定义为吸气时声带的矛盾性内收。PVFM的病因和治疗尚不清楚。由于严重的PVFM病例可能出现近乎完全的气道阻塞,医生应妥善处理这种情况。我们报告了一例通过应用持续气道正压通气(CPAP)成功处理PVFM患者气道的病例。在该病例中,一名67岁男性在接受喉部肿物切除术后拔除气管插管后被检测出患有PVFM。在CPAP的支持下,患者1天内康复且无并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56b3/4754275/92d8a8baedc1/kjae-69-84-g001.jpg

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