环杓关节脱位一例并文献复习

Cricoarytenoid Joint Dislocation:Report of One Case and Literature Review

环杓关节脱位是全麻插管的一种少见并发症,一般可以通过临床症状及纤维喉镜等检查确诊。早期复位通常能取得良好的疗效,若延误诊断及治疗时机则可能导致永久的发声异常。本文报道了1例全麻插管后出现发声困难、饮水呛咳等症状,但纤维喉镜和CT检查不支持环杓关节脱位,最终通过诊断性复位确诊并通过2次全麻下环杓关节复位取得较好疗效的患者,并对相关文献进行回顾性分析,以加强临床医师对该疾病的认识、提高诊治能力。

Cricoarytenoid joint dislocation,arare complication,can be usually diagnosed through clinical symptoms and fibrolaryngoscope et al.Early reduction can usually get a good effect,and delayed diagnoses and treatments may lead to permanent vocal abnormalities.This article reports a case of dysphonia,drinking cough and other symptoms after anesthesia intubation.Fibrolaryngoscope and CT did not support cricoarytenoid joint dislocation,the diagnosis was made by a diagnostic reset and 2 times of cricoarytenoid joint reduction achieved good curative effect.Relevant literatures were analyzed retrospectively to enhance the understanding of the disease and improve clinicians＇ capacity of diagnosis and treatment.