危重喉梗阻临床救治体会

Clinical experience of treatment for severe laryngeal obstruction

目的探讨急性喉梗阻第四度呼吸困难临床进一步分期的临床意义及采用紧急环甲膜切开术的临床指征。方法回顾性分析1997-12～2017-12间因喉梗阻出现第四度呼吸困难行急诊气道手术的30例患者,并对其进行3个月的随访。结果 30例患者均救治成功。随访中发现1例留下有后遗症,其余恢复良好,无严重并发症发生。结论对急性喉梗阻第四度呼吸困难患者须进一步明确临床分期,紧急环甲膜切开术是抢救的主要措施。

Objective To investigate the clinica significance of grade Ⅳ dyspnea for further clinical staging, which caused by acute laryngeal obstruction, and investigate the clinical indications for the treatment of emergency cricothyroidotomy. Methods A retrospective analysis was performed on 30 patients who underwent emergency airway surgery for grade Ⅳ dyspnea due to laryngeal obstruction from December 1997 to December 2017, and a 3-month follow-up was conducted. Results All the 30 patients were treated successfully, and no treatment failed. During the follow-up, 1 case was found to have sequelae, while the rest recovered well. No serious complications were found during the follow-up. Conclusion Further staging grade Ⅳ dyspnea of acute laryngeal obstruction is of great clinical significance. Therefore, emergency cricothyroidotomy is of great significance for the rescue of acute laryngeal obstruction.