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间接喉镜下声带息肉摘除术,麻醉是关键,但麻药的迟发性变态反应既难以预料,又影响手术效果。我院门诊曾遇见1例,报告如下: 王×,女,40岁,工人。反复声音嘶哑4年,对青霉素、磺胺、去痛片过敏。右声带红色球形新生物。术前半小时肌注鲁米那钠100mg和阿托品1mg,用1％达克罗宁常用量咽喉麻醉,40分钟后间接喉镜下顺利摘除;病检声带息肉,术后无不适;但3小时后,出现全身红斑、硬结、皮疹、奇痒(尤皮肤皱折处),会阴轻度充血水肿、咳嗽、无痰,呼吸通畅,立即送医院给予庆大霉素、氢化可的松静脉滴注;外用去炎松霜,4天后痊愈;但声音嘶哑更严重,经治疗10天后好转,半年后声音
Indirect laryngoscope vocal cord polyp removal, anesthesia is the key, but delayed anesthesia allergic reactions are difficult to predict, but also affect the surgical results. Our hospital clinics have met 1 case, the report is as follows: Wang ×, female, 40 years old, workers. Hoarseness repeated 4 years, penicillin, sulfa, to painkillers allergy. Right vocal red spherical new creatures. Half an hour before surgery, intramuscular injection of luminal sodium 100mg and atropine 1mg, with 1% dacronin amount of throat anesthesia, laryngoscopy 40 minutes after the indirect removal of laryngeal smooth; vocal cord polyps disease, no postoperative discomfort; but after 3 hours , There systemic erythema, induration, rash, itchy (especially skin wrinkles), perineal mild congestion and edema, cough, no sputum, breathing and immediately sent to the hospital for gentamicin, hydrocortisone intravenous infusion; Topical anti-inflammatory cream, recovered after 4 days; but the voice hoarseness more serious, after 10 days of treatment improved, six months after the sound