颏下进路气管插管术在颌面部多发性骨折中的应用

摘要

Objective:To discuss and compare the clinical effect of a modified intubation fixation method (floor of mouth-submental pathway fixation) in the treatment of maxillofacial fracture patients. Methods:17 patients suffered with maxillofa-cial and/or nasal septum fractures were performed oral endotracheal intubation at first. Then the distal tips of the intubation tubes were transferred through the pathway at floor of mouth to the submental area and fixed. Results:Compared with the tra-ditional trachea incision technique, this modified new technique decreased operative time length and postoperative complica-tions and sequelae. Conclusion:Floor of mouth-submental endotracheal intubation technique is simple, practical and safe.%目的:颌面部多发性骨折的患者为鼻腔气管插管的禁忌证,通常需行气管切开,为避免气管切开的并发症及后遗症,观察经皮颏下切开气管插管术的临床效果.方法:先经口腔行气管插管术,成功后将气管导管后端由口内转移出口外,固定于颏部.结果:该方式手术操作简单,避免了气管切开带来的严重的并发症.结论:经皮颏下气管插管术简单、实用、安全,适合于有鼻腔插管禁忌证的颌面部外伤患者.