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[急诊颌面外科手术中的麻醉与复苏]

[Anesthesia and resuscitation in emergency maxillofacial surgery].

作者信息

Greffe B, Desvaux M A, Bertrand M, Dagneaux J C, Hoguet L

出版信息

Ann Anesthesiol Fr. 1976;17(6):679-83.

PMID:10810
Abstract

A series of 290 cases of maxillo facial trauma permitted the authors to draw up the indications for resuscitation and surgery. Restoration of the permeability of the airways is most often obtained by oral intubation under non-depressor pharmcological agents. The difficulties encountered during intubation were usually linked to pain, but sometimes had a mainly mechanical origin, particularly during zygomatic and malar bone fractures. Tracheotomy was exceptional. Hemorrhage was often the major obstacle and, in certain cases, could only be controlled by immobilisation of the fragments. The anaesthetic technique is very similar to that used in neurosurgery.

摘要

290例颌面外伤病例使作者能够制定复苏和手术的适应症。气道通透性的恢复最常通过在非抑制性药物作用下进行口腔插管来实现。插管过程中遇到的困难通常与疼痛有关,但有时主要是机械性原因,特别是在颧骨和颧弓骨折时。气管切开术很少见。出血往往是主要障碍,在某些情况下,只能通过固定骨折碎片来控制。麻醉技术与神经外科手术中使用的技术非常相似。

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