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1000个扁桃体和腺样体手术中有15个发生严重并发病。局麻虽比全麻安全,但若注射过深并穿过感染的扁桃体,就有可能将细菌带进扁桃体后区。本文报告2例局麻扁桃体切除术后,因感染寰椎前横韧带导致了寰椎半脱位。作者们并称此种并发病尚未见诸文献。两例都是在向右侧注射麻药时,病人感到异常刺痛,并在24小时内出现颈痛和颈僵直,头的屈、伸、转动等活动受限。头活动和张口时颈痛加重。术后3～4天的颈椎X-线照片正常。后来又有低烧、血沉快等。第一例术后两个月的X-线片显示颈椎自然曲度消失;寰椎向前移位10mm;枢椎齿突有破坏和脱钙现象。用抗生素和骨科手术治愈。第二例在术后一个月发现颈椎变直,寰椎向前移位7mm。因给予抗生素较早,
Thirteen of 1000 tonsils and adenoids undergo serious and concurrent disease. Although local anesthetic than local anesthesia safety, but if the injection is too deep and through the infected tonsils, it is possible to bring bacteria into the posterior tonsil area. This article reports 2 cases of local anesthesia after tonsillectomy, due to infection of the anterior transverse ligament of atlas caused atlas subluxation. The authors also said that such complications have not been found in the literature. In both cases, the patient felt abnormal tingling while injecting narcotics to the right side. Neck pain and neck stiffness occurred within 24 hours. The head flexion, extension and rotation were restricted. Head activity and mouth pain when aggravating. 3 to 4 days after surgery, the normal cervical X-ray photos. Later, another low-grade fever, ESR and so on. The first case of two months after the X-ray film shows the disappearance of the natural curvature of the cervical vertebrae; atlas shift 10mm forward; denticulation of the tooth has damage and decalcification phenomenon. With antibiotics and orthopedic surgery cure. The second case was found in one month after surgery, cervical straight, atlantomatic shift forward 7mm. Given antibiotics earlier,