Strauss A, Pinder M, Lipman J, Conidaris M
Intensive Care Unit, Baragwanath Hospital, Johannesburg, South Africa.
Anaesthesia. 1996 Nov;51(11):1046-8. doi: 10.1111/j.1365-2044.1996.tb15002.x.
We report the case of a 48-year-old woman, referred to the Intensive Care Unit with community-acquired pneumonia, who was noted to have stridor of acute onset. Subsequent indirect laryngoscopy revealed bilateral abductor vocal cord paralysis, secondary to unsuspected carcinoma of the oesophagus, requiring immediate tracheostomy. We highlight the importance of visualisation of the vocal cords in cases of stridor of uncertain aetiology.
我们报告了一例48岁女性病例，该患者因社区获得性肺炎被收入重症监护病房，被发现有急性发作的喘鸣。随后的间接喉镜检查显示双侧声带外展麻痹，继发于未被怀疑的食管癌，需要立即进行气管切开术。我们强调在病因不明的喘鸣病例中观察声带的重要性。
