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喉罩的应用在麻醉科气道管理上是一种根本性的变化,而且在用于复苏抢救时似乎也是如此。与面罩或支气管插管相比,它基本上既不需要太多技术也不需要培训。作为一种普通的设施,它在所有的医疗辅助部门和急诊科都有配备,在医院复苏抢救过程中其应用也越来越普及。使用喉罩行正压通气时,常见的并发症为漏气和胃膨胀,这二者都易被发现。下面列举一个院外心脏停搏后使用喉罩引起胃扩张、破裂及高度气腹的病例。
The use of laryngeal masks is a fundamental change in the management of anesthesia in the airways and appears to be the same when used for rescue resuscitation. Compared with a mask or bronchial cannula, it basically requires neither too much skill nor training. As a common facility, it is equipped in all the Auxiliary and Emergency departments and is also gaining popularity in the hospital resuscitation process. The use of laryngeal mask positive pressure ventilation, the common complication of leakage and stomach expansion, both of which are easy to be found. The following list out of a hospital after cardiac arrest using laryngeal mask caused by gastric distention, rupture and a high degree of pneumoperitoneum cases.