环甲膜毗邻解剖结构及环甲膜定位的研究进展  

Research Progress in Adjacent Anatomical Structure and Location of Cricothyroid Membrane

作　　者：赵旭敏 王倩钰 刘全乐 杨冬 ZHAO Xumin;WANG Qianyu;LIU Quanle;YANG Dong(Department of Anesthesiology,Plastic Surgery Hospital,CAMS and PUMC,Beijing 100144,China)

机构地区：[1]中国医学科学院、北京协和医学院、整形外科医院麻醉科,北京100144

出　　处：《中国医学科学院学报》2023年第4期677-682,共6页Acta Academiae Medicinae Sinicae

基　　金：中国医学科学院北京协和医学院整形外科医院院所基金(Z2018002);北京协和医学院学科建设项目(201920200402)。

摘　　要：环甲膜穿刺、切开术是营救“无法插管,无法氧合”紧急气道管理、挽救患者生命的关键技术,需要每一位气道管理人员熟练掌握。然而,因对环甲膜毗邻解剖结构不熟悉,以及无法准确定位环甲膜,常常导致建立颈前紧急气道决策延迟,出现严重并发症,营救失败时有发生。因此,气道管理人员要熟知环甲膜毗邻结构及定位方法,以提高紧急气道抢救成功率,减少并发症,有效保障患者气道和生命安全。Cricothyroid membrane puncture and incision,the key techniques to save the lives of the patients in the Can’t Intubate,Can’t Oxygenate(CICO)emergency,need to be mastered by all the airway management staff.However,the decision to carry out cricothyroid membrane puncture or incision is often delayed due to the unfamiliarity with the adjacent anatomical structure of the cricothyroid membrane and the inability to accurately locate the cricothyroid membrane.As a result,serious complications and rescue failure occur.Therefore,airway management staff should be familiar with the adjacent structure and positioning methods of the cricothyroid membrane,so as to improve the success rate of emergency airway rescue,reduce complications,and protect the airway and life safety of the patients.

关 键 词：环甲膜 解剖结构 定位 

分 类 号：R459.7[医药卫生—急诊医学]