在全身麻醉和内管管道输入下,经过长时间的部剖析后,喉神经的复发:一个病例报告
Toru Yamamoto1, Takutoshi Inoue2, Yoshiki Miyakawa1
1Division of Dental Anesthesiology, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan.
Journal of dental anesthesia and pain medicine
|February 5, 2026
概括
本病例报告详细介绍了长期部手术后单边复发性喉神经 (RLN) . 仔细监测内管袖口压力,尽量减少部旋转,对于预防这种麻醉并发症至关重要.
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:
- 回复性喉神经 (RLN) 是全身麻醉的一种罕见并发症.
- 内管道输入管和长时间的部手术是危险因素.
研究的目的:
- 在进行广泛的部剖析后报告单边RLN的病例.
- 讨论潜在的机制和预防策略.
主要方法:
- 一名77岁的男性患者经历了长时间的部剖析和下切除术.
- 使用全身麻醉与内内输管和连续的袖口压力监测.
- 术后光纤检查评估了喉功能.
主要成果:
- 患者患有左侧RLN,以减少状腺运动和 incomplete glottic关闭为证.
- 语音逐渐改善,在术后的第54天恢复正常.
- 没有发现手术后的并发症.
结论:
- 长时间的输管,持续的部旋转和潜在的压缩性缺血可能会导致RLN.
- 密切监测内管袖口压力和限制部旋转在漫长的手术过程中至关重要.
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