国际麻醉学与复苏杂志   2016, Issue (11): 0-0
    
围手术期杓状软骨脱位:原因、处理及预后
陈冰, 李文献1()
1.复旦大学附属眼耳鼻喉科医院
Perioperative arytenoid cartilage dislocation: the causes,treatment and prognosis
 全文:
摘要:

【摘要】背景 杓状软骨脱位是一种少见的围手术期并发症,以声带固定为特征,常表现为声音嘶哑、吞咽困难等,易被误诊为声带麻痹。目的 帮助麻醉以及所有从事围手术期治疗的医生认识杓状软骨脱位这一临床少见的并发症。内容 介绍杓状软骨的结构和围手术期脱位的常见原因、类型、机制以及临床表现,并介绍相关诊断、治疗和预后等方面。考虑到喉罩使用的日渐普及,本文亦讨论了与喉罩使用相关的杓状软骨脱位病例。趋向 及早发现围手术期杓状软骨脱位病例并及时干预通常预后良好。

关键词: 杓状软骨; 脱位; 围手术期
Abstract:

【Abstract】Background Arytenoid cartilage dislocation is a rare complication in perioperative period,which is characterized with vocal cords immobility. The common symptoms are hoarseness and dysphagia. It is easily misdiagnosed as vocal cord paralysis. Objective To help anesthetists and all the doctors who are engaged in the perioperative treatments get a good knowledge of this rare complication--arytenoid cartilage dislocation. Content This paper briefly describes the anatomical structure of arytenoid cartilage,the causes of arytenoid dislocation,and its mechanism,clinical manifestations,diagnosis,treatment and prognosis. Considering the popularity use of laryngeal mask,cases of arytenoid dislocation caused by laryngeal mask may increase. This paper also describes arytenoid dislocation caused by laryngeal mask separately. Trend Early detection and timely intervention of perioperative arytenoid cartilage dislocation usually leads to a good prognosis.

Key words: Arytenoid cartilage; Dislocation; Perioperative