颌骨骨折合并颅底损伤患者经口底入路气管插管的临床效果  

Clinical effect of mouth floor approach intubation in jaw fracture combined with brain injury

作　　者：王科[1] 彭国光[1] 彭健泓[2] 谭玉莲[1] 杨磊[1] 何善志 王友元[3] WANG Ke;PENG Guo-guang;PENG Jian-hong;TAN Yu-lian;YANG Lei;HE Shan-zhi;WANG You-yuan(Center of Oral Treatment, Foshan Hospital of Traditional Chinese Medicine, Foshan 528000, China;Department of Anesthesia, Foshan Hospital of Traditional Chinese Medicine, Foshan 528000, China;Department of Stomatology, the Second Affiliated Hospital of Sun Yat.sen University, Guangzhou 510120, China)

机构地区：[1]佛山市中医院口腔医疗中心,广东佛山528000 [2]佛山市中医院麻醉科,广东佛山528000 [3]中山大学附属第二医院口腔科,广东广州510120

出　　处：《口腔疾病防治》2017年第2期97-100,共4页Journal of Prevention and Treatment for Stomatological Diseases

基　　金：国家自然科学基金(81602379);广东省医学科研基金(B2014136);佛山市医学重点专科培育项目(Fspy3-2015018)

摘　　要：目的探讨经口底隧道入路气管插管在手术治疗颌骨骨折伴颅底伤患者中的效果。方法 2014年1月—2015年10月在佛山市中医院口腔医疗中心住院治疗的颌面部外伤患者7例,所有患者均有颅底损伤合并颌骨骨折。因不能采用常规经口腔或经鼻腔入路插管,7例患者均选用口底隧道入路插管。结果 7例患者术后伤口均获得一期愈合,颌面部皮肤瘢痕隐蔽,没有脱管等其他并发症发生。结论经口底隧道入路行气管插管麻醉适用于颌骨骨折合并颅底骨折患者的治疗。Objective To explore the effects of mouth floor approach intubation in the treatment of jaw fracturecombined with skull base injury.Methods From Jan.2014to Oct.2015,7cases of jaw fracture combined with skullbase injury were selected from Medical center of Stomatology,Foshan Hospital of Traditional Chinese Medicine(FST?CM).All cases were treated with mouth floor approach intubation,because they were not suitable to be given the oral ornasal intubation anesthesia.Results All the patients healed well after operation,and there was no tube accident or oth?er complications.Conclusions For patients of jaw fracture combined with skull base injury,the mouth floor approachintubation could be recommended as a supplementary choice for traditional intubation methods.

关 键 词：口底入路 气道管理 颌骨骨折 气管切开术 麻醉 

分 类 号：R782[医药卫生—口腔医学]