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开胸术后的塔皮亚综合征

Tapia's syndrome after thoracotomy.

作者信息

Gelmers H J

出版信息

Arch Otolaryngol. 1983 Sep;109(9):622-3. doi: 10.1001/archotol.1983.00800230058014.

DOI:10.1001/archotol.1983.00800230058014
PMID:6882274
Abstract

Tapia's syndrome, a unilateral paralysis of the muscles of the tongue associated with palsy of the ipsilateral vocal cord, was observed in two patients within a short time of each other, after they had undergone thoracotomy. It can be understood as an extremely localized lesion just at the crossing of the vagal and hypoglossal nerves. Pressure neuropathy of both nerves due to inflation of the cuff within the larynx is an accepted cause. An alternative explanation is that stretch, caused by downward traction of the esophagus, is transferred to both nerves, those being closely connected in many places, and ultimately causing damage to them.

摘要

塔皮亚综合征是一种与同侧声带麻痹相关的舌肌单侧麻痹,在两名患者接受开胸手术后短时间内相继被观察到。它可被理解为恰好在迷走神经和舌下神经交叉处的一种极其局限性的病变。喉内袖带充气导致的双侧神经压迫性神经病变是一个公认的原因。另一种解释是,由食管向下牵引引起的拉伸传递到了这两条在许多部位紧密相连的神经,最终导致它们受损。

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