对气管切开术在路德维希咽峡炎中作用的重新评估。

A re-evaluation of the role of tracheostomy in Ludwig's angina.

作者信息

Allen D, Loughnan T E, Ord R A

出版信息

J Oral Maxillofac Surg. 1985 Jun;43(6):436-9. doi: 10.1016/s0278-2391(85)80051-3.

Abstract

Ten cases of Ludwig's angina that required surgical decompression in addition to intravenous antibiotic therapy are reviewed. The vocal cords were visualized in all ten patients following deep inhalational anesthesia to relieve trismus. Only one case required tracheostomy, which has previously been recommended as the treatment of choice for airway management; the other nine were intubated under direct vision.

摘要

回顾了10例路德维希咽峡炎病例，这些病例除静脉抗生素治疗外还需要手术减压。在深度吸入麻醉以缓解牙关紧闭后，对所有10例患者的声带进行了可视化检查。只有1例需要气管切开术，气管切开术以前被推荐为气道管理的首选治疗方法；其他9例在直视下插管。