摘要
目的 探讨气管插管麻醉后病人出现环杓关节脱位的病因。方法通过改进拔管时机避免环杓关节脱位,对照观察三组病人麻醉后出现环杓关节脱位的资料。结果习惯插管及拔管的对照组(第一组)行气管插管麻醉病人1061例,出现8例环杓关节脱位;改进插管操作的观察组(第二组)行气管插管麻醉病人1012例,出现9例环杓关节脱位;改进拔管时机观察组(第三组)做气管插管麻醉病人1328例,未出现环杓关节脱位。第三组与前两组比较有显著差异性。结论在全麻诱导和肌松状态下行气管插管麻醉的病人出现环杓关节脱位与在清醒状态下拔管有关。在病人喉部对刺激不敏感的状态下进行插管及拔管操作,可以有效避免环杓关节脱位。
Objective To investigate the etiologi-cal factors of cricoarytenoid joint dislocation after endo-tracheal cannulation and extubation in general anaesthe-sia patients. Methods Seventeen general anaesthesia pa-tients were cricoarytenoid joint dislocation after en-dothacheal intubation from July 2000 to December 2001. The factors of dislocation were analyzed retrospectively. Results The rate of cricoarytenoid joint dislocation was 0.75% (8/1061) in group A (from July 2000 to December 2000, the extubation opportunity choice on perfectly con-scious status), 0.89% (9/1012) in group B (from January 2001 to June 2001, the extubation opportunity choice on perfectly conscious status) and 0.00% (0/1328) in group C (from July 2001 to December 2001 ,the extubation op-portunity choice is not perfectly conscious status). Con-clusion The etiological factor of cricoarytenoid joint dislocation relate to extubation opportunity. The choice of opportunity of extubation should be on the status of patients not perfectly conscious after general anaesthesia.
出处
《耳鼻咽喉（头颈外科）》
2003年第4期221-222,共2页
Chinese Arch Otolaryngology-Head Neck Surg
关键词
环杓关节脱位
病因
预防
气管插管
全身麻醉
Catheterization
Cricoid Cartilage
Arytenoid Cartilage
Dislocation
