重症患者的输液后声带麻:一个多学科的案例系列
Bassel K Aboushawish1, Jawdat M Alali2, Abdulmalik M Jaber1
1From the Department of Anesthesia, ICU & Perioperative Med, Hamad Medical Corporation, Doha, Qatar.
A&A practice
|January 29, 2026
概括
声带麻 (VCP) 是重症患者输管治疗的罕见并发症. 早期诊断和多学科评估对于管理VCP和预防长期声音损伤至关重要.
科学领域:
- 关键护理医学 关键护理医学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经学 神经学
背景情况:
- 声带麻 (VCP) 是在重症监护室 (ICU) 进行长期或重复的内管道输入后的一种罕见并发症.
- 静脉肺炎可以表现为急性气道损害 (双边) 或微妙的症状,如声和吸气 (单边),往往延迟诊断和增加患者的发病率.
- 在输管手术过程中,复发性喉神经在解剖学上是脆弱的.
研究的目的:
- 报告一系列的重症监护室 (ICU) 患者被诊断患有输管后声带 (VCP).
- 突出诊断挑战和VCP的各种表现.
- 讨论管理策略,并强调早期多学科评估对优化结果的重要性.
主要方法:
- 4名重症监护室 (ICU) 患者的病例系列.
- 通过光纤喉镜检查证实了VCP的诊断.
- 对临床表现和管理策略的审查.
主要成果:
- 确定了四名患有输管后VCP的患者.
- 呈现的情况从双边声带麻引起的单侧功能障碍到双边声带麻.
- 管理方法包括观察,气管切除术和后部带状切除术.
结论:
- 输管后VCP由于各种临床表现而带来诊断挑战.
- 迅速识别和多学科评估对于有效管理至关重要.
- 及时干预可以预防长期的声带功能障碍,并改善患者的治疗结果.
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