口腔颌面留置气管插管的围手术期管理

The Management of Retaining Tracheal Intubation in Oral and Maxillofacial Surgery

目的:分析口腔颌面外科手术后留置气管插管的适应证和并发症,探讨围手术期合理管理。方法:对56例口腔颌面外科手术后留置气管插管患者行ICU监护,观察并发症,行镇痛镇静处理。结果:患者留置气管插管时间0.5-5 d,平均1.25 d。2例术后分别因心功能问题和通气不足行预防性气管切开,1例患者因痰痂堵塞致呼吸道梗阻死亡。结论:口腔颌面外科术后留置气管插管,可提高手术成功率和患者生存质量。

Objective To investigate the indication and complication of retaining tracheal intubation in oral and maxillofacial surgery,and to explore the reasonable management program.Methods All 56 patients with retaining tracheal intubation were monitored in ICU after oral and maxillofacial surgery.The complications were observed and the treatment of analgesia and sedation were given if necessary.Results The times of intubation retaining were 0.5 to 5 days with an average of 1.25 days.While 2 cases were separately received a tracheostomy owing to heart problems and lack of prophylactic ventilation,one case died of airway obstruction induced with sputum crust.Conclusion Retaining tracheal intubation could improve the successful ratio of operation and life quality of patients in oral maxillofacial surgery.