摘要
目的分析杓状软骨脱位的原因及其治疗效果。方法对33例杓状软骨脱位患者的临床资料进行回顾性分析。结果33例杓状软骨脱位患者中，气管内插管麻醉史30例（90．91％），插胃管史2例（6．06％），三腔二囊管压迫止血史1例（7．03％）。30例气管插管史的患者中，男26例（86．67％），女4例（13．33％）；年龄〈50岁10例（33．33％），〉50岁20例（66．67％）；留管时间最短1h，最长16h，平均5．2h，气管插管留管时间超过5．2h有14例（46．67％），〈5．2h有16例（53．33％）；21例（70％）全身状况较差，9例（30％）全身状况较好。25例在电子纤维喉镜下行杓状软骨拨动复位术，21例（84％）有效，4例（16％）无效。结论气管插管是杓状软骨脱位的主要病因，而患者性别、年龄及全身状况是气管插管导致杓状软骨脱位的影响因素，使用表面麻醉在电子纤维喉镜下行杓状软骨拨动复位术，可获良好效果。
Objective To analyze the origin and treatment in patients with arytenoid dislocation. Meth- ods 33 patients with arytenoid dislocation were analyzed by retrospective. Results Among 33 patients there were 30 cases with the history of endotracheal intubation. Among the 30 cases, male was 86. 67% and female was 13.33% ,66. 67% patients was older than 50 years and 33.33% patients was younger than 50 years. The average time of remain endotracheal intubation was 5.2 hours,46. 67% cases was over 5.2 hours and 53. 33% was less than 5.2 hours. The general condition of 70% cases was worse and 30% cases was better. After reduction of 25 cases ,84% cases was effect and 16% cases was failed. Conclusion The mainly origin of arytenoid dislocation is endotracheal intubation. The sex ; age and general condition of patient are the dangerous factors to arytenoid dis- location after endotracheal intubation. Arytenoid reduction is an effect treatment for arytenoid dislocation.
出处
《中国临床实用医学》
2010年第6期43-44,共2页
China Clinical Practical Medicine
关键词
杓状软骨脱位
气管插管
治疗
Arytenoid dislocation
Endotracheal intubation
Treatment
