论文部分内容阅读
儿童颞颌关节强直,由于患儿年龄小、张口受限给手术全麻带来一定困难。如何按患儿特点选择最佳麻醉方案值得研究。一般说来可采用局麻加强化、清醒盲插、必要时可以采用气管切开作气管内麻醉或静脉麻醉。我院对一例九岁颞颌关节强直患儿考虑清醒盲播不合作,试图用ㄚ—OH等药物诱导后再行鼻腔插管。结果引起舌后坠、呼吸道阻塞,由呼吸困难发展到呼吸停止。经紧急气管切开抢救后复苏。本例麻醉选择错误在于颞颌关节强直病人禁止采用诱导插管而采用了。如果采用局麻加强化、清醒插管或气管切开麻醉不会导致呼吸困难或呼吸停
Temporomandibular joint stiffness in children, due to children's age, limited mouth opening to the general anesthesia to bring some difficulties. How to choose the best anesthesia program according to the characteristics of children is worth studying. In general, local anesthesia can be used to strengthen the awake blind plug, if necessary, tracheotomy for endotracheal or intravenous anesthesia. Our hospital on a nine-year-old children with temporomandibular joint ankylosing blind blind children do not cooperate, trying to use ㄚ -OH and other drugs after nasal intubation. The result was a fall in the tongue, obstruction of the airway, development of breath to stop breathing. After emergency tracheotomy rescue resuscitation. This case of anesthesia is wrong choice temporomandibular joint ankylosis patients with the use of induced intubation. If using local anesthesia, awake intubation or tracheostomy anesthesia does not lead to breathing difficulties or respiratory arrest