在长期的机械通风后,关节脱
Suzanne K Veneman1, Stephanie E Veneman2, Thiemo F Veneman3
1Faculty of Medicine, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
European journal of case reports in internal medicine
|April 24, 2025
概括
双边关节 (TMJ) 脱位是内管道输入术后的罕见并发症. 及时识别和重新定位对于预防长期的关节功能障碍和疼痛至关重要.
科学领域:
- 口腔和牙面部外科手术
- 麻醉学 麻醉学
- 紧急医疗 紧急医疗
背景情况:
- 关节 (TMJ) 位移发生在多达7%的人口中.
- 前部脱位,涉及下尾前向运动,是最常见的.
- 双边TMJ脱后输管是一个不常见的并发症.
研究的目的:
- 报告一个罕见的双边关节脱的情况,在内管道输入管道后.
- 强调早期识别和管理这种并发症的重要性.
主要方法:
- 一名43岁的女性患者出现呼吸困难,并接受了内管道输入.
- 输出管后,患者发展出无法闭上嘴巴,说话或吞的能力.
- 计算机断层扫描证实了双边关位,由耳鼻腔科医生在镇静下成功重新定位.
主要成果:
- 计算机断层扫描显示了双边关节脱.
- 成功地手动重新定位下,恢复了正常的下解剖学和功能.
- 患者的症状在手术后得到缓解.
结论:
- 内管道输管是导致关节脱的一个诱导因素.
- 风险因素包括女性的性别,间距离和年龄.
- 延迟治疗可能导致难以重新定位,肌肉,长期的功能障碍或疼痛.
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