本帖最后由 shenxiu2 于 2010-2-28 13:58 编辑
回复 1# dulianggang
[Abstract]
Objective To study the cause 、treatment and prevention of endotracheal intubation induced arytenoid dislocation.
Methods Retrospect analysis of clinical data of 4 cases of endotracheal intubation induced arytenoid dislocation , to study the methods & effectiveness of their treatment. Results All 4 patients manisfested hoarseness of voice , pain on swallowing, cough on drinking , and all the arytenoid dislocations were on the left side.Out of the 4 patients of arytenoid dislocation, 3 of them had good laryngoscopic views,Cormack and lehane ratings class Ⅰ, endotracheal intubation was successful on the first attempt.One patient had poor laryngoscopic view,Cormack and lehane ratings class Ⅳ , endotracheal intubation was successful after 3 attempts. After the arytenoid dislocation, all of the patients basically had a full recovery after 1-3 attempts of closed manual reduction of the dislocation. Conclusion The main causes of endotracheal intubation induced arytenoid dislocation are: inappropriate timing of intubation & extubation and inadequate exposure of the vocal cords at the time of intubation. If it is diagnosed early,treated in time , has a good prognosis. .
[Keywords] Endotracheal intubation ; Arytenoid dislocation; Analysis |