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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.

DOI:10.1007/s00586-017-5214-4
PMID:28698964
Abstract

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.

摘要

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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Hypoglossal nerve palsy after airway management for general anesthesia: an analysis of 69 patients.全身麻醉气道管理后舌下神经麻痹：69例患者的分析
Anesth Analg. 2015 Jan;120(1):105-120. doi: 10.1213/ANE.0000000000000495.
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Unilateral hypoglossal neurapraxia following endotracheal intubation for total shoulder arthroplasty.全肩关节置换术气管插管后单侧舌下神经失用症
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Two cases of isolated unilateral paralysis of hypoglossal nerve after uncomplicated orotracheal intubation.两例在单纯经口气管插管后出现孤立性单侧舌下神经麻痹的病例。
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Effects of decreasing endotracheal tube cuff pressures during neck retraction for anterior cervical spine surgery.颈椎前路手术颈部后伸时降低气管导管套囊压力的效果
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Hypoglossal nerve palsy as complication of oral intubation, bronchoscopy and use of the laryngeal mask airway.舌下神经麻痹作为口腔插管、支气管镜检查及使用喉罩气道的并发症。
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