성상신경절차단 후 발생한 경부 혈종에 의한 상기도 폐쇄 증례 보고
Upper Airway Obstruction Due to Cervical Hematoma after Stellate Ganglion Block A case report
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Abstract
An 81 year old man, suffering from sudden sensorineural hearing loss, received stellate ganglion block while receiving a continuous intravenous infusion of heparin. Four hours after stellate ganglion block, he complained of neck pain and swelling. 36 hours later, he developed dyspnea. A plain radiograph and computed tomograph of the neck revealed narrowing of the upper airway. After a tracheostomy, the dyspnea improved. He was discharged without sequelae 19 days later. We recommend that proper compression of the injected site for over 5 minutes is necessary to avoid a hematoma, and careful observation and immediate treatment should be performed when a hematoma occurs.
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