现在已较常在成人作气管内插管。作者在76例插管引起喉并发症的成人中,有16例符合以下条件者:(1)声带麻痹,(2)插管5天以上,(3)无其它喉气管异常,及(4)拔管后至少存活6个月。其中10例作气管切开术后拔管,当时在直接喉镜下见声带动度良好,2例声门后部闭合不全。气管切开术后24小时杓区有显著的炎性水肿,伴声带麻痹,杓会厌皱襞及室带后部有明显 Endotracheal intubation is now more common in adults. Among 76 adults with intubation-induced throat complications, 16 were eligible for the following conditions: (1) vocal cord paralysis, (2) intubation for more than 5 days, (3) no other laryngeal tracheal abnormality, and (4) Extubation survival of at least 6 months. Ten of them were extubated after tracheotomy. At that time, the vocal cords were well guided by direct laryngoscopy, and the posterior part of the glottis was closed in 2 cases. At 24 hours after tracheotomy, there was a significant inflammatory edema in the dipper zone accompanied by vocal cord paralysis, and there was a significant