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在ProSeal喉膜口罩插入呼吸道后发生了状腺突变的病例:一个病例报告
Lingxi Xing1, Yuyan Ding1, Yihu Zhou1
1Department of Anesthesiology, The Affiliated Cancer Hospital of Nanjing Medical University, Jiangsu Cancer Hospital & Jiangsu Institute of Cancer Research, 210009 Nanjing, China.
International journal of surgery case reports
|October 1, 2024
概括
关节突变是气道管理的一个罕见并发症. 这一案例突出了由喉膜口罩呼吸道 (LMA) 引起的稀有甲状腺脱位的罕见实例,该病例通过闭合缩小手术成功治疗.
科学领域:
- 麻醉学 麻醉学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术并发症 手术并发症
背景情况:
- 关节突变是一种罕见的外科手术后并发症,通常与内内管管道输入有关.
- 在使用喉膜口罩呼吸道 (LMA) 后,其发生非常罕见.
研究的目的:
- 报告一个极其罕见的LMA引起的状位脱位病例.
- 强调警,及时诊断和治疗这种并发症的重要性.
主要方法:
- 一名53岁的女性患者在全身麻醉下接受了乳房切除和哨兵淋巴结活检,使用LMA.
- 手术后,患者出现了声和咳,通过柔性鼻腔内镜诊断为状位.
- 患者通过视频喉镜进行了两次闭门缩小手术,并接受了语音治疗.
主要成果:
- 患者的声音在治疗后一个月内恢复正常.
- 尽管表达时间延迟,但语音恢复取得了成功,这证明了封闭缩减的有效性.
结论:
- 麻醉师必须保持意识到即使在使用LMA时,也可能出现关节位.
- 及时诊断和干预对于疑似关节脱的患者的最佳语音恢复至关重要.
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