Jelen-Esselborn S
HNO. 1986 Jan;34(1):28-31.
Maxillofacial injuries are often seen in patients with multiple injury. The principal problem is control of the airway and treatment of shock. Surgical procedure and anaesthetic management have to consider the priority of stabilization of vital functions. Injury and shock lead to alterations in circulation, lung function, and electrolyte balances, which the anaesthesist has to bear in mind. Orotracheal intubation should be performed primarily, the definite control of the airway depends on the degree of trauma and the expected course. If the patient requires longterm ventilation a tracheostomy is indicated during early treatment.
颌面损伤在多发伤患者中较为常见。主要问题是气道控制和休克治疗。外科手术和麻醉管理必须考虑维持生命功能稳定的优先级。损伤和休克会导致循环、肺功能及电解质平衡的改变，麻醉医生必须牢记这些。应首先进行经口气管插管，气道的确切控制取决于创伤程度和预期病程。如果患者需要长期通气，则在早期治疗期间应行气管切开术。
