一名严重颌面创伤患者在钢丝引导下经皮环甲膜切开术后发生急性上气道衰竭和纵隔气肿。
Acute upper airway failure and mediastinal emphysema following a wire-guided percutaneous cricothyrotomy in a patient with severe maxillofacial trauma.
作者信息
Barkhuysen R, Merkx M A W, van Damme P A, Buyne O R, van den Hoogen F J A
机构信息
Department of Oral and Maxillofacial Surgery, Radboud University Nijmegen Medical Centre, P.O. Box 9101, Nijmegen, HB 6500, The Netherlands.
出版信息
Oral Maxillofac Surg. 2008 May;12(1):35-8. doi: 10.1007/s10006-008-0095-7.
BACKGROUND
In the presence of severe maxillofacial trauma, management of the airway is important because this condition poses a significant threat to airway patency. That securing the airway is not always straightforward is described and illustrated in this paper.
CASE
We present the case of a 23-year-old patient who sustained severe maxillofacial injury for which airway control was necessary. A wire-guided percutaneous dilation cricothyrotomy was performed, which was most probably the cause of an acute loss of airway patency. The literature regarding the role of percutaneous techniques in an elective and emergency setting is reviewed.
背景
在严重颌面创伤的情况下，气道管理至关重要，因为这种情况对气道通畅构成重大威胁。本文描述并举例说明了确保气道通畅并非总是简单易行的。
病例
我们报告一例23岁患者，该患者遭受严重颌面损伤，需要进行气道控制。实施了钢丝引导的经皮扩张环甲膜切开术，这很可能是气道突然丧失通畅的原因。本文回顾了经皮技术在择期和急诊情况下的作用的相关文献。
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