国际麻醉学与复苏杂志   2011, Issue (1): 0-0
    
气管内插管致环杓关节脱位4例分析
杜良刚, 许玉梅1()
1.湖北省武汉市蔡甸区武汉市第十三医院麻醉科
Analysis of 4 cases of Endotracheal intubation induced arytenoid dislocation
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摘要:

目的 探讨气管内插管致环杓关节脱位的原因、治疗及预防。方法 回顾分析4例气管内插管致环杓关节脱位患者的临床资料,对其治疗方法及效果进行探讨。结果 4例患者均表现为声嘶、咽痛、饮水呛咳,均为左侧环杓关节脱位。发生环杓关节脱位的4例患者,其中3例患者喉镜显露良好,Cormack-Lehane分级Ⅰ级,气管插管均一次性成功;1例患者,喉镜显露不良,Cormack-Lehane分级Ⅳ级,气管插管3次成功。环杓关节脱位后经过1~ 3次环杓关节闭合拨动复位后基本痊愈。结论 气管内插管致环杓关节脱位的主要原因是: 插管拔管时机不当和插管时声门暴露不良。及时发现,及时治疗,预后良好。

关键词: 气管内插管;环杓关节脱位;分析
Abstract:

Objective Discussion on the reasons 、treatment and prevention of endotracheal intubation induced arytenoid dislocation. Methods Retrospective analysis of 4 cases of endotracheal intubation induced arytenoid dislocation in patients with clinical information, on it's treatment methods and effects of discussion. Results 4 cases with hoarseness,sore throat,cough reflex of drinking water,are left arytenoid dislocation. 4 cases of arytenoid dislocation, 3 cases of patients with laryngoscope displayed good, Cormack and lehane gradeⅠlevel,endotracheal intubation one-time success;1 cases,laryngoscope displayed bad,Cormack and lehane grade Ⅳ level, endotracheal intubation three times success. arytenoid dislocation by 1~3 arytenoid after closing switch with basic afte recovery.Conclusion The main reasons of endotracheal intubation induced arytenoid dislocation are:cannula extubation times is inappropriate and intubation of glottis exposure to undesirable.timely discovery and timely treatment and prognosis of good.

Key words: Endotracheal intubation ; Arytenoid dislocation; Analysis