短暂插管后单侧喉返神经麻痹。两种情况[作者的翻译]。

Anesthesie, analgesie, reanimation Pub Date : 1981-01-01
A M Cros, D Esteben, J Verhulst, J Cazaugade
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引用次数: 0

摘要

这两个病例(1小时30和48小时)中的一个是永久性的。麻痹的原因似乎是由于气管内管袖和环状软骨之间的神经受到压迫,或者由于使用不必要的大管而导致甲状腺ala和脱位的杓状软骨之间受到压迫。一项解剖学研究帮助证实了这一假设,并显示在气管内袖带导致的神经进入喉部的水平处存在一个覆盖神经的缺血区。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Unilateral recurrent laryngeal nerve palsy following brief periods of intubation. Two cases (author's transl)].

One of these two cases (1 h 30 and 48 hours) was permanent. The cause of the paralysis seems to be either from compression of the nerve between the endotracheal tube cuff and the cricoid, or from compression between the thyroid ala and a dislocated arytenoid cartilage from use of an unnecessarily large tube. An anatomical study has helped to confirm this hypothesis and shows the presence of an ischaemic aera overlying the nerve at the level of its entrance into the larynx due to the endotracheal cuff.

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