内镜下口底-颌下径路气管内插管麻醉在颅面部多发性骨折手术中的应用  

The application of tracheal intubation by the endoscopic-assisted mouth floor-submandibular approach for the general anesthesia and operation of craniofacial multiple fractures

作　　者：张莉[1] 刘华[1] 岳万远[1] 陈涌[1] 

机构地区：[1]云南省第二人民医院口腔外科,昆明650021

出　　处：《实用口腔医学杂志》2017年第2期208-210,共3页Journal of Practical Stomatology

基　　金：云南省教育厅科学研究基金(编号:2013Y285)

摘　　要：目的:探讨内镜下口底-颌下径路气管内插管麻醉在颅面部多发性骨折手术中的应用。方法:运用该技术方法治疗颅面部多发骨折且有鼻腔插管禁忌症的患者8例,本文对该技术方法麻醉过程中实时监测血压(BP)、血氧饱和度(SPO_2)、心率(HR)、心电图(ECG)的适应证、器械的选择、操作要点、效果及安全性、注意事项进行了详尽的介绍。结果:插管及麻醉过程顺利,BP、SPO_2、HR和ECG保持正常,保证了手术顺利进行。术后未发生插管及麻醉相关并发症。结论:该方法操作简单、快速,安全有效、并发症少,是复杂颅面部骨折患者全麻的一项较好的选择。Objective： To investigate the application of tracheal intubation by the endoscopic- assisted mouth floor- submandibular ap- proach （EAMFA） for general anesthesia and the operation of craniofacial multiple fractures. Methods： 8 patients with complex craniofa-eial fractures and associated with the contraindication of nasal trachea cannula underwent EAMFA general anesthesia and operation. Blood pressure （ BP）, saturation of blood oxygen （ SPO2 ）, heart rate （ HR ） and electrocardiogram （ECG） were monitored timely. Restilts ： The intuhation and anesthesia were suecessfull in all patients ; BP, SPO2, HR and ECG were normal in all operation procedure in the patients. No complication was observed. Conclusion： EAMFA is an effective anesthesia approach for the surgical treatment of craniofacial multiple fractures.

关 键 词：面部骨折 全身麻醉 内镜 

分 类 号：R782.4[医药卫生—口腔医学]