Schumacher R E, Weinfeld I J, Bartlett R H
Department of Pediatrics, University of Michigan Medical Center, Ann Arbor.
Pediatrics. 1989 Nov;84(5):793-6.
Five cases of unilateral vocal cord paralysis/paresis were diagnosed following extracorporeal membrane oxygenation for newborn respiratory failure. All were right sided and transient in nature. None of the five patients had other findings commonly associated with vocal cord palsy. The extracorporeal membrane oxygenation procedure requires surgical dissection in the carotid sheath on the right side of the neck, an area immediately adjacent to both the vagus and recurrent laryngeal nerve. It is speculated that vocal cord paralysis in these infants was acquired as a result of the extracorporeal membrane oxygenation cannulation. Although the vocal cord paralysis resolved in all cases, two patients had difficult courses after extracorporeal membrane oxygenation. Therefore, laryngoscopic examination should be considered for patients after extracorporeal membrane oxygenation.
五例单侧声带麻痹/轻瘫在新生儿呼吸衰竭接受体外膜肺氧合治疗后被诊断出来。所有病例均为右侧且为暂时性。这五名患者均未出现其他通常与声带麻痹相关的症状。体外膜肺氧合程序需要在颈部右侧的颈动脉鞘内进行手术解剖，该区域紧邻迷走神经和喉返神经。据推测，这些婴儿的声带麻痹是由于体外膜肺氧合插管所致。尽管所有病例的声带麻痹均已缓解，但两名患者在体外膜肺氧合治疗后病程艰难。因此，对于接受体外膜肺氧合治疗后的患者，应考虑进行喉镜检查。
