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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.

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/4989812/57fa02774086/IJA-60-594-g001.jpg

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