颌面部创伤患者的综合气道管理
Comprehensive airway management of patients with maxillofacial trauma.
作者信息
Kellman Robert M, Losquadro William D
机构信息
Department of Otolaryngology and Communication Sciences, State University of New York, Upstate Medical University, Syracuse, New York.
出版信息
Craniomaxillofac Trauma Reconstr. 2008 Nov;1(1):39-47. doi: 10.1055/s-0028-1098962.
Abstract
Airway management in patients with maxillofacial trauma is complicated by injuries to routes of intubation, and the surgeon is frequently asked to secure the airway. Airway obstruction from hemorrhage, tissue prolapse, or edema may require emergent intervention for which multiple intubation techniques exist. Competing needs for both airway and surgical access create intraoperative conflicts during repair of maxillofacial fractures. Postoperatively, edema and maxillomandibular fixation place the patient at risk for further airway compromise.
摘要
颌面创伤患者的气道管理因插管途径的损伤而变得复杂，外科医生经常被要求确保气道安全。出血、组织脱垂或水肿导致的气道阻塞可能需要紧急干预，对此有多种插管技术。在颌面骨折修复过程中，气道需求和手术入路需求相互冲突，会在术中产生矛盾。术后，水肿和颌间固定使患者面临气道进一步受损的风险。
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