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回到绘图板——重新学习临床技能:双侧声带麻痹漏诊病例的根本原因分析

Back to the drawing board-relearn the clinical skills: A root cause analysis of a missed case of bilateral vocal cord paralysis.

作者信息

Ambasta Suruchi, Dey Ankita, Elakkumanan Lenin Babu, Sundararaj Rajkumar

机构信息

Department of Anaesthesiology and Critical Care, JIPMER, Puducherry, India.

出版信息

Indian J Anaesth. 2016 Aug;60(8):594-6. doi: 10.4103/0019-5049.187805.

DOI:10.4103/0019-5049.187805
PMID:27601744
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4989812/
Abstract

Bilateral vocal cord paralysis being misdiagnosed as bronchial asthma has been reported in the literature on several occasions. Diagnosing this condition needs precise clinical acumen which could lead us to make an integrated diagnostic and treatment plan. Here, we report another missed case of bilateral vocal cord paralysis and the root cause analysis of the incident. This report emphasises the need for appropriate clinical examinations and workup during the pre-operative assessment.

摘要

双侧声带麻痹被误诊为支气管哮喘的情况在文献中已有多次报道。诊断这种疾病需要精确的临床洞察力,以便我们制定综合的诊断和治疗方案。在此,我们报告另一例双侧声带麻痹漏诊病例及该事件的根本原因分析。本报告强调在术前评估期间进行适当临床检查和检查的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80cc/4989812/e8e79b1eda31/IJA-60-594-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80cc/4989812/57fa02774086/IJA-60-594-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80cc/4989812/e8e79b1eda31/IJA-60-594-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80cc/4989812/57fa02774086/IJA-60-594-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80cc/4989812/e8e79b1eda31/IJA-60-594-g002.jpg

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Back to the drawing board-relearn the clinical skills: A root cause analysis of a missed case of bilateral vocal cord paralysis.回到绘图板——重新学习临床技能:双侧声带麻痹漏诊病例的根本原因分析
Indian J Anaesth. 2016 Aug;60(8):594-6. doi: 10.4103/0019-5049.187805.
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本文引用的文献

1
Vocal cord paralysis and its etiologies: a prospective study.声带麻痹及其病因:一项前瞻性研究。
J Cardiovasc Thorac Res. 2014;6(1):47-50. doi: 10.5681/jcvtr.2014.009. Epub 2014 Mar 4.
2
Bilateral vocal cord paralysis detected incidentally during direct laryngoscopy on general anesthesia.全身麻醉下行直接喉镜检查时偶然发现双侧声带麻痹。
Korean J Anesthesiol. 2013 Dec;65(6 Suppl):S30-1. doi: 10.4097/kjae.2013.65.6S.S30.
3
[Educational usefulness of lung auscultation training with an auscultation simulator].[使用听诊模拟器进行肺部听诊训练的教育效用]
Nihon Kokyuki Gakkai Zasshi. 2011 Jun;49(6):413-8.
4
Technology for enhancing chest auscultation in clinical simulation.增强临床模拟中胸部听诊的技术。
Respir Care. 2011 Jun;56(6):834-45. doi: 10.4187/respcare.01072. Epub 2011 Feb 11.
5
Improving pulmonary auscultation as a tool in the diagnosis of bronchial obstruction--results of an educational intervention.
Scand J Prim Health Care. 1998 Sep;16(3):160-4. doi: 10.1080/028134398750003115.
6
Psychogenic vocal cord dysfunction simulating bronchial asthma.模拟支气管哮喘的心理性声带功能障碍。
Eur Respir J. 1995 Nov;8(11):1978-81. doi: 10.1183/09031936.95.08111978.