Mullinax M C, Kuhn W F
Section of Emergency Medicine, Medical College of Georgia, Augusta 30912, USA.
Eur J Emerg Med. 1996 Jun;3(2):102-5. doi: 10.1097/00063110-199606000-00008.
We present a case of benign paradoxical vocal cord adduction' presenting to the emergency department as acute stridor. This patient received direct laryngoscopy at initial presentation documenting inspiratory vocal cord adduction. The syndrome is not well known to emergency physicians and, because it often mimics life-threatening airway compromise, prompt recognition of the benign nature of this syndrome may avert more aggressive airway interventions such as beta agonists, steroids, endotracheal intubation and tracheostomy. Successful treatment has included relaxation, sedatives and speech therapy to abort the acute attack and prevent further recurrence. As direct flexible laryngoscopy is more readily available in the emergency department, goals for the future are more rapid diagnosis and appropriate treatment of this benign syndrome.
我们报告一例以急性喘鸣为表现就诊于急诊科的良性反常性声带内收病例。该患者初诊时接受了直接喉镜检查，记录显示吸气时声带内收。急诊科医生对该综合征了解不多，而且由于它常常酷似危及生命的气道梗阻，迅速认识到该综合征的良性本质可避免采取更激进的气道干预措施，如使用β受体激动剂、类固醇、气管插管和气管切开术。成功的治疗方法包括放松、使用镇静剂和言语治疗，以终止急性发作并防止进一步复发。由于直接可弯曲喉镜检查在急诊科更容易实施，未来的目标是对这种良性综合征进行更快速的诊断和恰当治疗。
