Submentotracheal intubation: another problem and its solution.
Submentotracheal intubation: another problem and its solution.
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脑膜下气管插管：另一个问题及其解决方案。
DOI：
10.1097/00000539-200210000-00081
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发表时间：
2002
影响因子：
5.7
通讯作者：
R. Sharma
中科院分区：
文献类型：
--
作者：
S. Malhotra;N. Malhotra;R. Sharma
我们的病人是一位68岁的捷克斯洛伐克男性，他在国外生活了多年，所以我们用英语交流。术中，尽管他被唤醒到足以睁开眼睛并听到我们的声音，但他没有遵守我们用英语重复的移动他的脚的命令。我们的高级麻醉师15年前遇到的另一个病例是一位在美国生活多年的土耳其患者。手术后，在气管插管时，他用英语写作表达自己。拔管后，他继续用英语说话和回答。手术后24-28小时，他突然又开始说土耳其语。他很惊讶地听到他一直在用英语写作和说话，因为他记得这段时间发生的一切。这两种情况可以根据以下知识来解释：主要语言主要存储在皮层下区域的”内隐记忆系统”中，而后天语言是通过明确的规则学习的，并且更广泛地存储在大脑皮层中（1）。然而，麻醉对大脑语言中心的影响似乎涉及到非常复杂的机制，目前还不清楚。我们想记录下我们的两次经历，以便将它们添加到类似的故事中，从而启发进一步的调查。
Our patient was a 68-year-old Czechoslovakian male who had lived outside his country for years, so our communication was in English. Intraoperatively, although he was awakened enough to open his eyes and hear our voices, he did not obey the commands to move his foot that we repeated in English. Another case that our senior anesthesiologist encountered 15 years earlier was a Turkish patient who had lived in the United States for many years. After surgery, while tracheally intubated, he expressed himself by writing in English. After extubation, he continued to speak and answer in English. At 24-28 hours postsurgery, he suddenly switched back to speaking Turkish. He was surprised to hear that he had been writing and speaking in English, as he remembered everything that had happened during that period. These two cases could be explained based on the knowledge that main language is mostly stored in" implicit memory systems" of the subcortical regions, whereas acquired languages are learned by explicit rules and stored more diffusely in the cerebral cortex (1). However, the effects of anesthesia on linguistic centers in the brain seem to involve very complex mechanisms that are not yet understood. We wanted to document our two experiences so that they can be added to similar stories and, thus, enlighten further investigations.