脊柱手术后的医源性双侧舌下神经麻痹。
Iatrogenic bilateral hypoglossal palsy following spinal surgery.
作者信息
Panikkar Shrijit, Tol Govind, Siddique Irfan
机构信息
Department of Spinal Surgery, Salford Royal NHS Foundation Trust, Stott Lane, Salford, Manchester, M6 8HD, UK.
Department of Anaesthesia, Salford Royal NHS Foundation Trust, Stott Lane, Salford, Manchester, M6 8HD, UK.
出版信息
Eur Spine J. 2018 Jul;27(Suppl 3):314-317. doi: 10.1007/s00586-017-5214-4. Epub 2017 Jul 11.
INTRODUCTION
Bilateral hypoglossal palsy is a rare complication during airway management in surgery.
CASE PRESENTATION
Isolated bilateral hypoglossal palsy was noted post-operatively in a patient who underwent multiple spinal surgeries associated with prone anaesthesia.
DISCUSSION
Risk factors include difficult, multiple intubations, prolonged surgical time, throat pack, and hyperextension of the neck during intubation.
CONCLUSION
We aim to create awareness about this complication which has a significant morbidity and negative effect on patient outcomes.
引言
双侧舌下神经麻痹是手术气道管理过程中一种罕见的并发症。
病例报告
一名接受了多次与俯卧位麻醉相关脊柱手术的患者术后出现孤立性双侧舌下神经麻痹。
讨论
危险因素包括插管困难、多次插管、手术时间延长、咽喉填塞以及插管时颈部过度伸展。
结论
我们旨在提高对这种并发症的认识，它具有较高的发病率并对患者预后产生负面影响。
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