长期使用细鼻胃管引起的双侧声带麻痹。
Bilateral vocal cord palsy induced by long-term use of small-bore nasogastric tube.
作者信息
Nihira Takashi, Fukaguchi Kiyomitsu, Taguchi Azusa, Fukui Hiroyuki, Sekine Ichiro, Yamamoto Daisuke, Moriya Hidekazu, Yamagami Hiroshi
机构信息
Department of Emergency Medicine Shonan Kamakura General Hospital Kamakura Japan.
Department of Neurology Shonan Kamakura General Hospital Kamakura Japan.
出版信息
Acute Med Surg. 2023 Jul 17;10(1):e872. doi: 10.1002/ams2.872. eCollection 2023 Jan-Dec.
BACKGROUND
Nasogastric tube syndrome is a rare but life-threatening complication of nasogastric tube placement due to acute upper airway obstruction caused by bilateral vocal cord paresis.
CASE PRESENTATION
An 86-year-old woman was brought to the emergency department with acute stridor. She had been diagnosed with stroke 106 days prior, and an 8F nasogastric tube was placed on the day following the diagnosis. A laryngeal fiberscopy revealed bilateral laryngeal edema and bilateral vocal cord palsy. Nasogastric tube removal and intubation were carried out, and the stridor disappeared. Two days later, a tracheostomy was performed. Unfortunately, the patient's vocal cord function had not improved at the 1 month follow-up upon assessment with a laryngeal fiberscope.
CONCLUSION
Long-term small-bore nasogastric tube placement can cause upper airway obstruction due to bilateral vocal cord palsy.
背景
鼻胃管综合征是一种罕见但危及生命的鼻胃管置入并发症，由双侧声带麻痹导致急性上呼吸道梗阻引起。
病例报告
一名86岁女性因急性喘鸣被送往急诊科。她在106天前被诊断为中风，诊断后第二天放置了一根8F鼻胃管。喉镜检查显示双侧喉水肿和双侧声带麻痹。拔除鼻胃管并进行插管后，喘鸣消失。两天后进行了气管切开术。不幸的是，在1个月随访时用喉镜评估发现患者的声带功能未改善。
结论
长期放置细径鼻胃管可因双侧声带麻痹导致上呼吸道梗阻。
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