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气管插管后双侧声带麻痹

Bilateral vocal cord paralysis following endotracheal intubation.

作者信息

Brandwein M, Abramson A L, Shikowitz M J

出版信息

Arch Otolaryngol Head Neck Surg. 1986 Aug;112(8):877-82. doi: 10.1001/archotol.1986.03780080077018.

Abstract

Bilateral vocal cord paralysis following endotracheal intubation is an uncommon cause of respiratory obstruction. We report one case, adding to ten previously identified. We dissected eight human cadaver larynges and noted the path of the anterior ramus of the recurrent laryngeal nerve. It appeared to be particularly vulnerable to compression injury as it passed between the arytenoid cartilage and the thyroid lamina. This point was confirmed by histologic sections of intubated larynges.

摘要

气管插管后双侧声带麻痹是呼吸梗阻的罕见原因。我们报告一例,使先前确诊的病例增至十例。我们解剖了八个人类尸体喉部,并记录了喉返神经前支的路径。当它在杓状软骨和甲状软骨板之间通过时,似乎特别容易受到压迫损伤。这一点在插管喉部的组织学切片中得到了证实。

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