经皮喉部超声在重症监护室评估声带麻痹1例报告

IF 0.1 Q4 ANESTHESIOLOGY

Acta anaesthesiologica Belgica Pub Date : 2020-06-01 DOI:10.56126/71.2.6

N. Kumar, A. Kumar

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引用次数: 0

摘要

直接喉镜检查是目前诊断甲状腺或甲状旁腺手术后喉返神经麻痹的标准方法，但这种方法对患者来说可能不舒服，并可能导致生命体征的不良变化。一位40岁女性在甲状腺全切除术后，在直接喉镜检查时被认为是双侧声带麻痹。患者在呼吸支持下转入重症监护病房(ICU)。我们在ICU使用连续经皮喉超声检查评估声带功能和保守治疗。3天后，我们能够安全地拔管，避免了气管切开术。

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Serial transcutaneous laryngeal ultrasonography in intensive care unit for assessment of vocal cord palsy: a case report

A direct laryngoscopy is currently the standard method for diagnosing RLN (Recurrent Laryngeal Nerve) paralysis after thyroid or parathyroid surgery but this procedure can be uncomfortable for patients and may cause undesirable changes in vital signs. A 40 years old female after a total thyroidectomy was assumed to have a bilateral vocal cord palsy on direct laryngoscopy after surgery. Patient was shifted to intensive care unit (ICU) on ventilatory support. We used serial transcutaneous laryngeal ultrasonography in the ICU for assessing the vocal cord functions along with conservative management. After 3 days, we were able to safely extubate the trachea and tracheostomy was avoided.

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来源期刊

Acta anaesthesiologica Belgica ANESTHESIOLOGY-

CiteScore

0.20

自引率

0.00%

发文量

期刊介绍： L’Acta Anaesthesiologica Belgica est le journal de la SBAR, publié 4 fois par an. L’Acta a été publié pour la première fois en 1950. Depuis 1973 l’Acta est publié dans la langue Anglaise, ce qui a été résulté à un rayonnement plus internationaux. Depuis lors l’Acta est devenu un journal à ne pas manquer dans le domaine d’Anesthésie Belge, offrant e.a. les textes du congrès annuel, les Research Meetings, … Vous en trouvez aussi les dates des Research Meetings, du congrès annuel et des autres réunions.