纤维喉镜用于口腔颌面部肿瘤手术麻醉插管

NASOTRACHEAL INTUBATION WITH FIBER OPTIC LARYNGOSCOPE IN OPERATIVE ANESTHESIA OF THE MOUTH AND JAW-FACE CANCER

摘要: 本文对27例ASAI～Ⅲ级口腔、颌面部肿瘤引起麻醉气管插管困难的手术病人，应用纤维光束鼻咽喉镜引导经鼻腔明视气管插管。结果：26倒插管成功；1例因肿瘤出血严重行气管造口插管；插管时监测SPO297±2%；循环呼吸影响较轻；插管后严重呛咳者２例。作者认为口腔、颌面部等头颈部肿瘤手术病人应用纤维喉镜明视引导插管可简化麻醉操作，克服麻醉插管许多困难，组织损伤小、并发症少等优点，是一种具有较好的临床应用价值的插管方法。

Abstract: cases ASA Ⅰ-Ⅲ patients of the mouth and Jaw-face cancer nasotracheal intubation with fiber optic laryngoscope (Japan: Olympus ENF-T3 type) in operative anesthesia. The results showed that 26 cases successful intubation were achieved in the patients, 1 case transtracheostomy intubation; SPO2 97±2%; There no obvious effects of the circulation and respiration system. The operation of this method was simple and tissue injury was light, the complication was lower. Therefore, author suggest that the patients of diffcult anesthesia in the head and neck cancer nasotracheal intubation with fiber optic laryngoscope was an excellent method.