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  1. 学術雑誌論文
  2. 琉球医学会
  3. 琉球医学会誌
  4. 39巻1-4号
  1. 部局別インデックス
  2. その他

頚部郭清術術後の神経刺激装置の刺激により横隔神経麻痺をきたした一例

http://hdl.handle.net/20.500.12000/0002016922
http://hdl.handle.net/20.500.12000/0002016922
8354638b-cd6f-49a1-a617-98cb34ee1682
名前 / ファイル ライセンス アクション
Vol39p41.pdf Vol39p41.pdf
Item type デフォルトアイテムタイプ(フル)(1)
公開日 2021-11-18
タイトル
タイトル 頚部郭清術術後の神経刺激装置の刺激により横隔神経麻痺をきたした一例
言語 ja
作成者 加藤, 大貴

× 加藤, 大貴

ja 加藤, 大貴

又吉, 亮

× 又吉, 亮

ja 又吉, 亮

後藤, 新平

× 後藤, 新平

ja 後藤, 新平

仲宗根, 敏幸

× 仲宗根, 敏幸

ja 仲宗根, 敏幸

Kato, Tomoki

× Kato, Tomoki

en Kato, Tomoki

Matayoshi, Akira

× Matayoshi, Akira

en Matayoshi, Akira

Goto, Shinpei

× Goto, Shinpei

en Goto, Shinpei

Nakasone, Toshiyuki

× Nakasone, Toshiyuki

en Nakasone, Toshiyuki

アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
権利情報
言語 ja
権利情報 琉球医学会
主題
言語 en
主題Scheme Other
主題 neck dissection
言語 en
主題Scheme Other
主題 phrenic nerve palsy
内容記述
内容記述タイプ Other
内容記述 Phrenic nerve paralysis is a rare complication after radical neck dissection. Here, we describe our experience of a case of transient phrenic paralysis due to invasion by a nerve stimulation device. A 41-year-old woman underwent bilateral radical neck dissection for cervical lymph node metastasis of tongue squamous cell carcinoma. Right radical neck dissection and left supraomohyoid neck dissection were performed under general anesthesia. Postoperative chest X-ray showed prominent elevation of the right diaphragm and positive silhouette sign. Based on these findings, we diagnosed the patient with phrenic nerve paralysis and atelectasis. Because she was hemodynamically stable and phrenic nerve paralysis was unilateral, the decline in respiratory function seemed to be mild. However, the possibility of exacerbation of atelectasis was not excluded because her oxygen saturation decreased frequently even with oxygenation and she was obese (body mass index: 35, height: 154cm, weight: 83kg). Therefore, we decided to implement continuous positive airway pressure in the intensive care unit. On the 8th postoperative day, elevation of the diaphragm was not observed on chest X-ray. The patient was discharged without recurrence of phrenic nerve paralysis after receiving radiation therapy and chemotherapy. Clinicians should carefully consider use of a nerve stimulation device due to the potential risk of paralysis caused by the device, even when used to protect the phrenic nerve during surgery.
内容記述タイプ Other
内容記述 論文
出版者
言語 ja
出版者 琉球医学会
言語
言語 jpn
資源タイプ
資源タイプ journal article
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
収録物識別子
収録物識別子タイプ ISSN
収録物識別子 1346-888X
収録物識別子タイプ NCID
収録物識別子 AN10369445
収録物名
言語 ja
収録物名 琉球医学会誌 = Ryukyu Medical Journal
書誌情報
巻 39, 号 1-4, p. 41-44
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