PDF(Pubmed)
Abstract：
BACKGROUND: One-lung ventilation (OLV) is a commonly used technique to facilitate surgical visualization during thoracic surgical procedures. Double-lumen endotracheal tubes and one-lumen tracheal tube combined with bronchial blocker might lead to intubation-related laryngeal injury.
METHODS: In the perioperative period, how to avoid further damage to the vocal cord while achieving OLV during operation is challenging work.
METHODS: She was diagnosed with systemic lupus erythematosus, bilateral vocal cord paralysis, and lung tumor.
METHODS: We used a combination of a laryngeal mask airway with bronchial blocker to avoid further damage to the vocal cord when achieving OLV.
RESULTS: At 1-month follow-up, she had fully recovered without obvious abnormalities.
CONCLUSIONS: When OLV was required for patients with bilateral vocal cord paralysis, a combination of a laryngeal mask airway with bronchial blocker was considered a better choice.
METHODS: In the perioperative period, how to avoid further damage to the vocal cord while achieving OLV during operation is challenging work.
METHODS: She was diagnosed with systemic lupus erythematosus, bilateral vocal cord paralysis, and lung tumor.
METHODS: We used a combination of a laryngeal mask airway with bronchial blocker to avoid further damage to the vocal cord when achieving OLV.
RESULTS: At 1-month follow-up, she had fully recovered without obvious abnormalities.
CONCLUSIONS: When OLV was required for patients with bilateral vocal cord paralysis, a combination of a laryngeal mask airway with bronchial blocker was considered a better choice.
摘要：
背景：单肺通气（OLV）是一种常用的技术，可在胸外科手术过程中促进手术可视化。双腔气管导管和单腔气管导管联合支气管阻滞剂可导致气管插管相关喉损伤。
方法：在围手术期，如何在手术中实现OLV的同时避免声带的进一步损伤是一项具有挑战性的工作。
方法：她被诊断为系统性红斑狼疮，双侧声带麻痹,还有肺部肿瘤.
方法：我们使用了喉罩气道与支气管阻滞剂的组合，以避免在实现OLV时进一步损伤声带。
结果：在1个月的随访中，她已经完全康复，没有明显的异常。
结论：双侧声带麻痹患者需要OLV时，喉罩气道与支气管阻滞剂的组合被认为是更好的选择.
方法：在围手术期，如何在手术中实现OLV的同时避免声带的进一步损伤是一项具有挑战性的工作。
方法：她被诊断为系统性红斑狼疮，双侧声带麻痹,还有肺部肿瘤.
方法：我们使用了喉罩气道与支气管阻滞剂的组合，以避免在实现OLV时进一步损伤声带。
结果：在1个月的随访中，她已经完全康复，没有明显的异常。
结论：双侧声带麻痹患者需要OLV时，喉罩气道与支气管阻滞剂的组合被认为是更好的选择.
