气管切开术在口底多间隙感染中的应用

Application of tracheotomy in interspaces infection of mouth floor

目的:探讨气管切开术在口底多间隙感染中的适应证和可能出现的并发症及其预防。方法:对喉阻塞的口底多间隙感染患者的临床资料进行分析。结果:17例患者无一例因呼吸道梗阻发生窒息死亡,2例发生术后并发症,其中1例为切口出血,1例为颈部皮下气肿。结论:气管切开术并发症少,对二度喉阻塞或者三、四度喉阻塞的口底多间隙感染患者,进行预防性气管切开术或者紧急气管切开术能够有效防止患者因窒息发生死亡。

Objective：To investigate the indication,possible complications and the precaution of tracheotomy in interspaces infection of mouth floor.Methods：To carry out prophylactic tracheotomy or emergency tracheotomy to 17 patients with interspaces infection of mouth floor.Results：Of them,none died of suffocation,2 patients had complications,one was haemorrhage at nick and the an other was cutaneous emphysema in neck.Conclusion：Little complications occur in tracheotomy.Therefore,performing prophylactic tracheotomy or emergency tracheotomy is helpful to prevent suffocation in the patients with interspaces infection of mouth floor in Ⅱ° or Ⅲ°,Ⅳ° laryngeal obstruction.