Park Yong Duck, Kim Min Suk, Choi Rak Min, Noh Jae Hoon
Department of Anesthesia and Pain Medicine, Seoul Veterans Hospital, Seoul, Korea.
Korean J Anesthesiol. 2009 Oct;57(4):540-543. doi: 10.4097/kjae.2009.57.4.540.
A patient had respiratory difficulty and hoarseness following total thyroidectomy due to bilateral vocal cord palsy. The patient was a 60-year-old man who underwent total thyroidectomy for papillary carcinoma of the thyroid. He had no laryngeal symptoms prior to the operation. Anesthesia lasted 3.5 hours and was uneventful. Spontaneous respiration resumed after reversal of the neuromuscular blockade. After arriving at the post-anesthesia care unit, he complained of respiratory difficulty and hoarseness. We confirmed bilateral vocal cord palsy by fiberoptic laryngoscopy. It is necessary to perform a complete and thorough search for the underlying cause of vocal cord palsy.
一名患者因双侧声带麻痹在全甲状腺切除术后出现呼吸困难和声音嘶哑。该患者为60岁男性，因甲状腺乳头状癌接受了全甲状腺切除术。术前他没有喉部症状。麻醉持续了3.5小时，过程顺利。神经肌肉阻滞逆转后自主呼吸恢复。到达麻醉后护理单元后，他诉说呼吸困难和声音嘶哑。我们通过纤维喉镜检查确诊为双侧声带麻痹。有必要对声带麻痹的潜在原因进行全面彻底的排查。
