正颌手术中气管导管缝线致气管套囊漏气1例  

Endotracheal tube cuff leakage caused by endotracheal tube suture during orthognathic surgery:one case analysis

作　　者：肖荣 彭涛[1] 漆志民 Xiao Rong;Peng Tao;Qi Zhimin(Department of Anesthesiology,Stomatological Hospital Affiliated to Nanchang University,Jiangxi Provincial Key Laboratory of Oral Bio-Medicine,Jiangxi Provincial Clinical Medical Research Center for Oral Diseases,Nanchang 330038,China)

机构地区：[1]南昌大学附属口腔医院麻醉科,江西省口腔生物医学重点实验室,江西省口腔疾病临床医学研究中心,南昌330038

出　　处：《国际麻醉学与复苏杂志》2024年第5期523-525,共3页International Journal of Anesthesiology and Resuscitation

摘　　要：正颌手术术中需要上下颌咬合对位,一般采用经鼻气管内插管,为防止气管导管的脱落,常用丝线固定气管导管于鼻小柱上。文章报道1例正颌手术中气管导管缝线致气管套囊漏气,该患者术中出现气管导管漏气,给予口咽部纱条填塞,输注泵持续给套囊内泵注空气,患者顺利完成手术,术毕患者清醒拔管,无误吸,肺部听诊双肺呼吸音清。术后5 d安全出院。Orthognathic surgery requires the upper and lower jaw occlusal alignment,where anesthesia intubation is commonly adopted through nasotracheal intubation.In order to prevent the endotracheal tube from falling off,a silk thread is often used to fix the endotracheal tube on the nasal columella.The articles reports one case of endotracheal tube cuff leakage caused by endotracheal tube suture during orthognathic surgery.The patient had air leakage from the endotracheal tube during the operation.Accordingly,the oropharynx was packed with gauze,and the infusion pump continuously pumped the air into the cuff pump.The patient completed the operation successfully.At the end of the operation,the patient was awaked and extubated,without aspiration,and the respiratory sounds were clear in both the lungs on lung auscultation.The patient was discharged five days after the operation.

关 键 词：正颌手术 经鼻气管内插管 术中导管漏气 

分 类 号：R782.054[医药卫生—口腔医学]