颌面创伤手术的麻醉管理

• 作 者: 张燕 胡明
• 机 构: 新疆医科大学附属中医医院手术麻醉科,
• 出 处: 现代养生
• 发表日期: 2015年10期
• 关键词: 颌面创伤 气道管理 麻醉

维持气道通畅是颌面创伤麻醉管理的重点。呼吸道不通畅引起的死亡,往往高于创伤本身。颌面创伤通常与其他创伤伴发,如颅内和胸腔损伤,更容易引起呼吸道梗阻。口腔或鼻腔活动性出血、破碎的牙齿、呕吐物或舌咽损伤会堵塞呼吸道使气道管理更加复杂。随着麻醉技术的不断更新以及对困难气道的深入认识,其解决的办法日益增多。但尚需不断深入研究。颌面创伤气道的安全性关键在于围术期如何避免缺氧,有防范策略。

Maintaining airway patency is the focus of maxillofacial trauma anesthesia management. Death from respiratory problems is often higher than the trauma itself. Maxillofacial trauma usually associated with other traumatic injuries, such as intracranial and chest injuries, are more likely to cause airway obstruction. Active oral or nasal bleeding, broken teeth, vomit, or glossopharyngeal damage can clog the airways and make airway management more complicated. With the continuous update of anesthesia technology and deep understanding of the difficult airway, its solution is increasing. But still need to continue in-depth study. The key to the safety of maxillofacial trauma airway is how to avoid hypoxia during perioperative period and to guard against it.