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经过心脏手术后的双边声麻,通过前后状裂进行管理
John Dewey1, Adrian Williamson1, Hussein Jaffal1
1Department of Otolaryngology-Head and Neck Surgery, West Virginia University, Morgantown, WV, USA.
The Journal of laryngology and otology
|July 14, 2025
概括
经过心脏手术后双侧声麻的新生儿通过内镜前后骨分裂 (APCS) 恢复良好. 这种程序成功地管理了气道的妥协,避免了气管切除术,并恢复了声功能.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿童心脏病学 儿童心脏病学
- 儿科手术 儿科手术
背景情况:
- 先天性心脏异常往往需要广泛的手术修复.
- 术后的呼吸道损伤,包括双边声麻,也可能发生.
- 新生儿双边声麻的管理存在重大挑战.
研究的目的:
- 在心脏手术后呈现新生儿双侧声麻的病例.
- 描述使用内镜前后形分裂 (APCS) 进行气道妥协的管理.
- 评估APCS在这个患者群体中的长期疗效.
主要方法:
- 一个新生儿的心脏手术后双侧声麻的案例报告.
- 进行了内镜前后形骨分裂 (APCS) 程序.
- 对双边声麻的替代治疗方案的文献综述.
主要成果:
- 在心脏手术后,该患者出现了和呼吸衰竭.
- 灵活光纤喉腔镜证实了双边声麻.
- 内镜前后形裂变 (APCS) 成功管理了呼吸道,避免了气管切除术.
- 患者在术后第13天进行了输出管,并恢复了近乎完全的声功能.
- 两年的随访显示,呼吸道,声音,睡眠和吞症状的解决.
结论:
- 内镜前后裂裂 (APCS) 是一种有效的治疗双边声麻相关的新生儿呼吸衰竭.
- 在这个患者群体中,APCS可以成功地避免气管切除术.
- 长期随访表明症状的缓解和喉运动的恢复.
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