Woodson G E, Kendrick B
Department of Otolaryngology-Head and Neck Surgery, University of California, San Diego.
Arch Otolaryngol Head Neck Surg. 1989 Sep;115(9):1100-2. doi: 10.1001/archotol.1989.01860330090024.
Disruption of the thoracic aorta is usually fatal without prompt surgical attention. Left recurrent laryngeal nerve paralysis has been reported in approximately 10% of patients who survive long enough to develop a pseudoaneurysm, but the time of onset has rarely been specified. In this study, 50 cases of thoracic aortic trauma were reviewed to determine the incidence and timing of laryngeal paralysis, compared with 50 cases of atherosclerotic aneurysms matched for location. Four patients in the traumatic group were hoarse, and the onset was immediate in 3. Six in the atherosclerotic group became hoarse. Results indicate that laryngeal paralysis following severe trauma can be a very early sign of aortic injury and requires prompt and thorough investigation.
胸主动脉破裂如不及时手术治疗通常会致命。据报道，在存活足够长时间形成假性动脉瘤的患者中，约10%会出现左侧喉返神经麻痹，但很少明确其发病时间。本研究回顾了50例胸主动脉创伤病例，以确定喉麻痹的发生率和发病时间，并与50例位置匹配的动脉粥样硬化性动脉瘤病例进行比较。创伤组有4例患者声音嘶哑，其中3例发病立即出现。动脉粥样硬化组有6例患者声音嘶哑。结果表明，严重创伤后的喉麻痹可能是主动脉损伤的一个非常早期的迹象，需要及时、全面的检查。
