摘要
目的 探讨困难气道的处理方法。方法 回顾性分析该院近 4年收治的 4 6例口腔颌面部手术麻醉的临床资料。结果 有 6例困难气道的病人 ,其中 5例采用鼻腔黏膜 ,口咽腔黏膜表面麻醉或 /和经环甲膜注射利多卡因表面麻醉后经鼻清醒气管插管术 ,另 1例于局麻下气管切开术后再实施麻醉 ,围术期均无严重缺氧、误吸、喉痉挛等并发症。结论 根据困难气道的不同原因和困难程度采取不同的麻醉方法和插管技术是确保病人安全度过麻醉手术期的关键。
Objective: To investigate the treatment of difficult airway.Methods:In the last 4 years, the clinical data from 46 patients anesthetized for oral dentofacial surgery in our hospital were retrospectively analyzed.Results:There are six patients with a difficult airway. Awake intubation was performed among five out of six patients by the nasal route after anesthesia is achieved by sedation with midazolam and by spraying the nasal and oropharyngcal mucosa and/or injecting of lidocaine through cricothyroid membrane.The other one was performed anesthesia after tracheoctomy .Tere are no complications periopration such as hypoxaemia,regurgitation and pulmonary aspiration of gastric contents, laryngospasm and so on. Conclusions:To choose suitable methods of anesthesia and intubation forms is the essentiality which can assure the patients safty during the opration.
出处
《中国现代医学杂志》
CAS
CSCD
2004年第4期138-139,共2页
China Journal of Modern Medicine
关键词
全身麻醉
气管插管术
口腔颌面外科
General Anesthesia
Intubation
Oral Dentofacial Surgery
