摘要
目的探讨治疗紧急喉梗阻的最佳方法。方法1998-07—2006—01笔者对328例紧急喉梗阻的患者进行了环甲膜穿刺置管术,并对所有患者的资料进行了回顾性分析。结果所有患者均一次操作成功,手术时间不超过1min,经环甲膜穿刺置管均有少量出血,但最多不超过3ml,无1例出现皮下或纵隔积气、食管损伤和气胸,也无1例病死。所有患者拔管后环甲膜切口均愈合良好,环甲膜穿刺置管愈合处仅见小条索状瘢痕,无1例在拔管后出现呼吸闲难及声音嘶哑。结论环甲膜穿刺置管术是治疗紧急喉梗阻安全、有效和简便易行的手术方法。
Objective To explor a better surgical method for acute laryngeal obstruction. Methods From July 1998 to january 2006,328 patients with acute laryngeal obstruction had received the puncture and intubation through cricothroid membrane,and their clinical data were retrospectively studied.Results The operations for all the cases were once success,and the surgical time were ≤ one minute and the bleeding amount were ≤ 3ml in all the cases.Nobody occurred subcutaneous and mediastinal emphysema, and pneumatothorax and tracheoesophageal fistula,and no oeeured death.The all wound healed good and had just minimally pomphoid; no expiratory dyspnea and celostomia were found after the operation. Conclusion This surgical procedure is a safe, effective, and easy in manipulation for acute laryngeal obstruetion.
出处
《实用医药杂志》
2006年第11期1292-1294,共3页
Practical Journal of Medicine & Pharmacy
关键词
环甲膜
穿刺
置管术
喉梗阻
Crieothriod membranee Puncture Intubation Laryngeal obstruction
