下颌骨整形手术后突发窒息的可能原因分析及防治

Pathogeny and treatment of suddenly apnea in patients following mandibular surgery

目的:总结行气管内全麻经口内入路下颌骨整形术的患者术后出现突发性呼吸困难、窒息的主要原因。方法:回顾性分析2007年7月～2012年6月在全麻下经口内入路下颌骨整形术患者的临床资料。结果:本组714例术后患者中,28例患者术后出现呼吸困难症状,22例予保守治疗,6例予以二次手术探查止血,均痊愈出院。结论:防止下颌骨整形术术后窒息,除了要注意术中手术操作外,更重要的是加强术后病情观察及对窒息的应急处理。

Objective The aim of this study was to analyze the pathogenesis of suddenly apnea in patients following mandibular surgery with intraoral approach and to give treatment advise. Methods A retrospective study included 714 patients who were given mandibular surgery with intraoral approach between July,2007,and June,2012,at Zhu Jiang Hospital were conducted.All patients were under general nasotracheal anesthesia. Results Among all the patients,28 had the symptom of postoperative apnea.22 of them were received expectant treatment and another 6 were treated with operative treatment, the symptoms had vanished or improved.All patients were being discharged with a full recovery. Concluison In case of suddenly apnea after mandibular surgery,surgical technique should be carefully conducted. What＇s more,keeping the patients under continuous observation after mandibular surgery and being prepared with emergency treatment are also vitally important.