逆行式喉功能障碍:两个病例报告和文献综述
Maria Angela S Dealino1, Rumi Ueha2, Kyohei Horikiri1
1Department of Otolaryngology and Head and Neck Surgery, The University of Tokyo, Tokyo, Japan.
Auris, nasus, larynx
|January 8, 2026
概括
逆行式喉功能障碍 (RCPD) 是一种罕见的疾病,患者无法吐. 两例病例显示,通过药物或手术成功治疗,突显了医疗意识提高的必要性.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 胃肠病学 胃肠病学
- 神经学 神经学
背景情况:
- 逆行式喉功能障碍 (RCPD) 是一种新出现的疾病,其特点是无法吐.
- 患者在经过广泛的,不确的调查后,往往会自诊断RCPD,这表明临床医生的意识很低.
- 终身无法排泄是关键症状,通常伴随着以前没有透露的诊断评估.
研究的目的:
- 为了介绍两个截然不同的RCPD管理案例.
- 为了突出诊断发现,使用高分辨率测量仪.
- 讨论RCPD的潜在治疗途径.
主要方法:
- 案例1:医疗管理一个17岁的男性与rikkunshito和mosapride.
- 案例二:对一个30岁的女性进行内镜式关节肌肉切除,该女性有耐火症状.
- 通过高分辨率测量仪的诊断确认,显示UES压力升高,并且在尝试吐时没有放松.
主要成果:
- 在遵循不同的治疗策略后,在两名患者中成功缓解症状.
- 瑞昆希托和莫萨普里德为一名患者提供了有效的医疗管理.
- 透镜喉肌切除术在暂时缓解肉毒素毒素后,为耐火性症状提供了明确的解决方案.
结论:
- 提高临床医生对RCPD的认识至关重要,以防止长期的诊断旅程.
- 瑞昆希托可以作为患者避免手术的替代辅助疗法.
- 喉肌切除术对于耐火性RCPD病例或对注射不耐受的人来说是一个可行的手术选择.
相关概念视频
Esophageal Strictures-II: Clinical Features and Management
417
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
417
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
466
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
466
Endoscopic Procedures V: ERCP
2.7K
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
2.7K
Gastroesophageal Reflux Disease II: Clinical Features and Management
681
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
681


