环甲膜穿刺置管术在麻醉气管插管中的应用  

Application of puncture and intubation through cricothyroid membrane to intratracheal anesthesia

作　　者：刘洪[1] 庞玲[1] 王昆[1] 石秀娜[1] 胡晓霞[1] 孙广艳[1] 

机构地区：[1]解放军107医院耳鼻咽喉-头颈外科,山东烟台264002

出　　处：《中国耳鼻咽喉颅底外科杂志》2007年第3期216-217,220,共3页Chinese Journal of Otorhinolaryngology-skull Base Surgery

摘　　要：目的探讨环甲膜穿刺穿孔置管在麻醉气管插管中的应用。方法1999年5月-2006年1月,我院对39例常规气管插管困难及喉显微手术需开阔内镜视野的患者进行环甲膜穿刺穿孔置管术,并对其病例资料进行回顾性分析。结果所有病例均1次操作成功,穿刺时间不超过1 min,经环甲膜穿刺穿孔置管出血量不超过3 ml,无1例出现皮下或纵隔积气、食道损伤和气胸,无1例死亡病例。所有病例拔管后环甲膜伤口均愈合良好,环甲膜穿刺穿孔置管愈合处仅见小条索状瘢痕,无严重并发症。结论环甲膜穿刺穿孔置管在气管插管麻醉中是一种安全、有效、快速、简便易行和微创的操作方法,必要时可选择性使用。Objective To study the clinical application of puncture and intubation through cricothyroid membrane to intratracheal anesthesia. Methods The clinical data of 46 patients receiving puncture and intubation through cricothyroid membrane in intratracheal anesthesia from May 1999 to Jan. 2006 were studied retrospectively. Results The manipulation was performed successfully once, the surgical time was less than one minute and the bleeding volume was less than 3 ml in all cases. No complications such as subcutaneous and mediastinal emphysema, pneumathorax and tracheoesophageal fistula occurred, and no patient died. Conclusion This surgical procedure is safe, effective, simple and minimally invasive in intratracheal anesthesia.

关 键 词：环甲膜 置管术 气管插管术 

分 类 号：R653.1[医药卫生—外科学]