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插管后瘢痕化并发症的手术与药物联合治疗总结(作者译)

[Combined treatment of a cicatrised post-intubation complication with surgery and medication summary (author's transl)].

作者信息

Gabriel P, Chilla R

出版信息

HNO. 1976 Aug;24(8):280-2.

PMID:977397
Abstract

A case of postintubation laryngotracheal injury is described. The paramedian position of the vocal cords was found to be a consequence of cicatrix in the area of the posterior commissure, and by a luxation with ankylosis of the right cricoarytenoid joint. Paresis of the recurrent laryngeal nerve was excluded by electromyography. Multiple incisions of the cicatrix failed to correct the problem, whereas subsequent incision followed by intensive therapy with fludrocortisone and hyaluronidase was successful in management. In administering the medication, a new simplifed method for translaryngeal injection is described.

摘要

本文描述了一例气管插管后喉气管损伤的病例。发现声带旁正中位是后联合区瘢痕形成以及右环杓关节脱位伴关节强硬的结果。通过肌电图排除了喉返神经麻痹。对瘢痕进行多次切开未能解决问题,而随后切开并辅以氟氢可的松和透明质酸酶强化治疗则成功解决了该问题。在给药过程中,描述了一种经喉注射的新简化方法。

相似文献

1
[Combined treatment of a cicatrised post-intubation complication with surgery and medication summary (author's transl)].插管后瘢痕化并发症的手术与药物联合治疗总结(作者译)
HNO. 1976 Aug;24(8):280-2.
2
[The arthritis of the cricoarytenoid joint, a rare postintubation complication and its novel treatment (author's transl)].[环杓关节关节炎,一种罕见的插管后并发症及其新治疗方法(作者译)]
Laryngol Rhinol Otol (Stuttg). 1976 May;55(5):389-92.
3
[Vocal cord paralysis with stridor caused by interarytenoid fibrosis--a complication of intensive care].杓间区纤维化导致的声带麻痹伴喘鸣——重症监护的一种并发症
Laryngol Rhinol Otol (Stuttg). 1985 Aug;64(8):403-4.
4
[Extension of traumatic mucosal changes and their relevance in reconstructive surgery in laryngeal and tracheal stenoses following long-term intubation (author's transl)].[长期插管后喉气管狭窄创伤性黏膜改变的扩展及其在重建手术中的相关性(作者译)]
HNO. 1980 Feb;28(2):45-8.
5
Fibreoptic assessment of post intubation laryngotracheal injuries.插管后喉气管损伤的纤维光学评估
Indian J Chest Dis Allied Sci. 1996 Oct-Dec;38(4):241-7.
6
[Late laryngeal and tracheal complications after prolonged naso-tracheal intubation (author's transl)].长期鼻气管插管后的晚期喉和气管并发症(作者译)
Anasth Intensivther Notfallmed. 1981 Aug;16(4):211-5.
7
Prevention of postintubation laryngotracheal stenosis.预防气管插管后喉气管狭窄。
Acta Otorhinolaryngol Belg. 1995;49(4):341-6.
8
[Post-mortem study of laryngotracheal lesions produced by prolonged intubation and/or tracheotomy].[长期插管和/或气管切开术所致喉气管病变的尸检研究]
Acta Otorrinolaringol Esp. 1997 Oct;48(7):545-50.
9
The management of laryngotracheal injury.喉气管损伤的处理
S Afr J Surg. 1984 May;22(2):79-86.
10
[Bridge synechiae of the larynx following long-term intubation].[长期插管后喉粘连]
Laryngorhinootologie. 1991 Mar;70(3):151-3. doi: 10.1055/s-2007-998008.

引用本文的文献

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[Surgery of the nerves of the neck, nose, and ear region (except Nn. stato-acusticus and olfactorius) (author's transl)].[颈部、鼻及耳部区域神经外科手术(不包括位听神经和嗅神经)(作者译)]
Arch Otorhinolaryngol. 1981;231(1):89-449. doi: 10.1007/BF00465558.
2
A historical overview of the aetiology and treatment of laryngeal stenosis.
Arch Otorhinolaryngol. 1989;246(5):336-40. doi: 10.1007/BF00463589.