环甲膜穿刺置管术临床应用  

Application of puncture and intubation through cricothyriod membrane

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]解放军第107医院耳鼻咽喉头颈外科,山东烟台264002

出　　处：《中国耳鼻咽喉头颈外科》2008年第2期99-101,共3页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的探讨环甲膜穿刺置管术在临床中的效果。方法1998年7月～2006年1月对39例常规气管插管困难、喉显微外科手术需开阔内镜视野者以及286例急性喉梗阻患者进行了环甲膜穿刺置管术建立人工气道,并对其病例资料进行回顾性分析。结果所有病例均一次操作成功,穿刺时间不超过1分钟,出血量不超过3ml,无1例出现皮下或纵隔积气、食管损伤和气胸,无1例死亡。所有病例拔管后环甲膜伤口均愈合良好,仅见小条索状瘢痕,无严重并发症。结论环甲膜穿刺置管术是一安全、有效、快速且简便易行的微创操作方法,必要时可选择性使用。OBJECTIVE To explore the application of the puncture and intubation through cricothyriod membrane in clinical practice. METHODS From July 1998 to January 2006, 325 patients had received the puncture and intubation through cdcothroid membrane, and their clinical data were retrospectively studied. RESULTS All the puncture and intubation were successful only once, and the surgical time of puncture and intubation was less than one minute and the bleeding amount was less than 3ml in all cases. No complications such as subcutaneous and mediastinal emphysema, pneumatothorax and tracheoesophageal fistula occurred. All the wounds healed well and had just left a minimal scar. CONCLUSION The puncture and intubation through cricothyriod membrane is a safe, easy, quick, effective and minimally invasive way.

关 键 词：环甲膜 导管插入术 外周 穿刺术 

分 类 号：R459.7[医药卫生—急诊医学] R767[医药卫生—治疗学]