Department of Anesthesiology, Hebei General Hospital, Shijiazhuang, China.
Medicine (Baltimore). 2024 Mar 8;103(10):e37409. doi: 10.1097/MD.0000000000037409.
One-lung ventilation (OLV) is a commonly used technique to facilitate surgical visualization during thoracic surgical procedures. Double-lumen endotracheal tubes and one-lumen tracheal tube combined with bronchial blocker might lead to intubation-related laryngeal injury.
In the perioperative period, how to avoid further damage to the vocal cord while achieving OLV during operation is challenging work.
She was diagnosed with systemic lupus erythematosus, bilateral vocal cord paralysis, and lung tumor.
We used a combination of a laryngeal mask airway with bronchial blocker to avoid further damage to the vocal cord when achieving OLV.
At 1-month follow-up, she had fully recovered without obvious abnormalities.
When OLV was required for patients with bilateral vocal cord paralysis, a combination of a laryngeal mask airway with bronchial blocker was considered a better choice.
单肺通气（OLV）是一种常用于胸部手术中辅助手术可视化的技术。双腔气管内导管和单腔气管内导管联合支气管封堵器可能导致与插管相关的喉损伤。
在围手术期，如何在手术期间实现 OLV 的同时避免对声带造成进一步的损伤是一项具有挑战性的工作。
她被诊断为系统性红斑狼疮、双侧声带麻痹和肺部肿瘤。
我们使用喉罩气道联合支气管封堵器来实现 OLV，以避免对声带造成进一步的损伤。
在 1 个月的随访中，她完全康复，没有明显异常。
对于双侧声带麻痹的患者需要进行 OLV 时，考虑使用喉罩气道联合支气管封堵器是一个更好的选择。
