环杓关节脱位一例并文献复习

摘要

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 per-manent vocal abnormalities. This article reports a case of dysphonia,drinking cough and other symptoms after anesthesia intuba-tion. 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 en-hance the understanding of the disease and improve clinicians′capacity of diagnosis and treatment.