复合型面裂合并困难气道患儿气管插管成功1例报道  

Successful tracheal intubation in a child with facial multi-clefts and difficult airway: Case report

作　　者：耿清胜[1] 徐辉[1] 姜虹[1] 朱也森[1] 

机构地区：[1]上海第二医科大学附属第九人民医院麻醉科,上海200011

出　　处：《上海口腔医学》2004年第5期471-472,共2页Shanghai Journal of Stomatology

摘　　要：报道1例男性患儿,7岁,诊断为5、6、7复合型面裂(facialmulti-clefts),拟在气管插管麻醉下行整形手术。存在颌面部严重畸形,及术前未发现的扁桃体肿大,在诱导期间,出现呼吸困难和通气困难,经放入中号口咽通气道,自主呼吸恢复正常,期间通气道置入困难;在应用直接喉镜直视探查过程中,出现喉痉挛,经置入通气道、加压通气,呼吸恢复正常;经鼻盲探气管插管多次尝试未成功,最终借助直接喉镜直视下经口盲探气管插管成功。A male patient, aged 7 years, was intended to undergo plastic surgery under general anesthesia with tracheal intubation for his severe facial abnormities as a result of 5, 6, 7 combined facial clefts. Because of his severe facial abnormities and preoperative undetected bilateral antiadoncus, during the period of induction, dyspnoea and dysventilation took place, which were relieved by inserting a medium-sized oropharyngealx airway with difficulty; during euthyphoirally exploring his endolarynx with direct laryngoscope, laryngospasm occurred, which was relieved through inserting airway and pressurizing ventilation; repetitively attempted to blindly insert tracheal intubation through nostril, but failed. Finally, his intubation was achieved by blindly intubating through oral cavity under the assistance of direct laryngoscope.

关 键 词：气管插管 置入 正常 直接喉镜 气道 患儿 诊断 困难 复合型 合并 

分 类 号：R782.05.4[医药卫生—口腔医学]