[纤维支气管镜在口腔手术中的适应症]。

Stomatologia mediterranea : SM Pub Date : 1989-07-01
E Rapisarda, S Leonardi, G Palazzo, G Guzzetta, S Ferlito
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引用次数: 0

摘要

纤维支气管镜检查最初用于肺炎诊断和治疗目的,最近已用于治疗“插管困难”。在唇腭裂、复杂骨折、严重的颌面畸形和大面积肿瘤后,经直接喉镜检查的经典鼻-口气管插管可能会出现困难。几年前使用了盲插管,这对操作者来说是一种压力,对病人来说是非常危险的。在最严重的情况下,气管切开术。由于纤维镜具有合适的长度和缩小的直径,纤维镜引导下的鼻气管插管可以在今天进行。回顾纤维支气管镜在口腔手术中的适应症,作者描述了他们使用的三种方法。他们还强调了该技术的优点,该技术允许在不使用活体药物的情况下进行确定而非创伤性插管,而不会在喉气管粘膜中产生撕裂或肿胀。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Indications for the use of fibrobronchoscopy in oral surgery].

Fibrobronchoscopy, first used in pneumology with a diagnostic and therapeutic purpose, has been recently used in the therapy of "difficult intubations". After trismus, complex fracture, serious maxillofacial malformations and wide neoplasia, classic nose--orotracheal intubation through direct laryngoscopy may turn out difficulty. Some years ago blind intubation was used, which was stressing for the operator and very dangerous for the patient. In the most serious cases, tracheotomy was used. Thanks to flexible fibroscopes of suitable lenght and reduced diameter, nosetracheal intubations guided by fibroscope can be carried out today. Remembering the indications about fibrobronchoscope use in oral surgery, the Authors describe tre method they have used. They also underline the facility of this technique which allows to carry out a sure and not traumatic intubation without resorting to lisive medicines without producing lacerations or tumefactions in laryngotracheal mucosa.

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