本文選題：面部骨折 + 全身麻醉�。� 參考：《實(shí)用口腔醫(yī)學(xué)雜志》2017年02期

【摘要】：目的:探討內(nèi)鏡下口底-頜下徑路氣管內(nèi)插管麻醉在顱面部多發(fā)性骨折手術(shù)中的應(yīng)用。方法:運(yùn)用該技術(shù)方法治療顱面部多發(fā)骨折且有鼻腔插管禁忌癥的患者8例,本文對該技術(shù)方法麻醉過程中實(shí)時監(jiān)測血壓(BP)、血氧飽和度(SPO_2)、心率(HR)、心電圖(ECG)的適應(yīng)證、器械的選擇、操作要點(diǎn)、效果及安全性、注意事項進(jìn)行了詳盡的介紹。結(jié)果:插管及麻醉過程順利,BP、SPO_2、HR和ECG保持正常,保證了手術(shù)順利進(jìn)行。術(shù)后未發(fā)生插管及麻醉相關(guān)并發(fā)癥。結(jié)論:該方法操作簡單、快速,安全有效、并發(fā)癥少,是復(fù)雜顱面部骨折患者全麻的一項較好的選擇。
[Abstract]:Objective: To explore the application of endotracheal intubation anesthesia in the operation of craniofacial multiple fractures by endoscopic suboral submaxillary approach. Methods: 8 patients with multiple craniofacial fractures with nasal intubation contraindication were treated by this technique. The real time monitoring of blood pressure (BP), oxygen saturation (SPO_2), heart rate (HR) in the process of anesthesia was carried out in this technique. The indications of electrocardiogram (ECG), the selection of the apparatus, the main points of operation, the effect and safety, and the precautions were introduced in detail. Results: the intubation and anesthesia process were smooth, BP, SPO_2, HR and ECG were kept normal, and the operation was carried out smoothly. No intubation and related complications after operation. Conclusion: the method is simple, rapid and safe. Effective and less complication is a good choice for patients with complex craniofacial fractures.
【作者單位】： 云南省第二人民醫(yī)院口腔外科;
【基金】：云南省教育廳科學(xué)研究基金(編號:2013Y285)
【分類號】：R782.4

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