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目的:探讨小颌畸形手术时有效气管插管方法。方法:对21 例先天性小颌畸形患者的插管麻醉作回顾性分析。比较三种插管法的成功率和并发症发生情况。结果:10 例慢诱导经鼻探插皆顺利完成插管;7 例慢诱导经口视插成功4 例;4 例快诱导经口视插成功2 例,且1 例造成严重的咽喉部损伤,术毕拔管后呼吸困难,予以气管切开。结论:小颌畸形患者的插管以选慢诱导经鼻探插法为佳,成功率高;禁用快诱导经口明视插管。
Objective: To explore effective tracheal intubation during operation of small jaw deformity. Methods: A retrospective analysis of intubating anesthesia in 21 patients with congenital small jaw deformity. The success rate of three kinds of intubation and complications were compared. Results: In all 10 cases, the nasal exploration was completed successfully. In 7 cases, 4 cases were successfully induced by slow visualization. In 4 cases, 2 cases were successfully induced by oral visualization, and 1 case caused severe throat injury. Breathing surgery after extubation difficulty, be tracheotomy. CONCLUSIONS: It is better for cannulation of patients with maxillofacial deformity to choose nasopharyngeal aspiration for slow induction, with a high success rate.