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呼吸道梗阻是口腔颌面部手术后严重并发症之一,直接威胁到病人的生命。我院20年来共并发17例,现将体会和教训总结如下: 本组男性14例,女性3例。年龄3～70岁。其中口腔恶性肿瘤切除加颈淋巴清扫术9例,口腔良性肿瘤切除术4例,腭裂修复术2例,颞颌关节形成术2例。应用气管内全身麻醉4例,局部麻醉13例。抢救成功无后遗症者13例,死亡4例。抢救时11例施行气管切开术。体会和教训1.本组17例均为上呼吸道梗阻。分析其发生原因:术后残留下颌骨移位舌根后坠7例(41.3%);分泌物堵塞及喉水肿共6例
Respiratory tract obstruction is one of the most serious complications of oral and maxillofacial surgery, which directly threatens the patient's life. In our hospital over the past 20 years, a total of 17 cases, the experience and lessons learned are summarized as follows: The group of 14 males and 3 females. Age 3 to 70 years old. Among them, 9 cases of oral malignancy resection plus neck dissection, 4 cases of oral benign tumor resection, 2 cases of cleft palate repair and 2 cases of temporomandibular joint arthroplasty. Tracheal general anesthesia in 4 cases, local anesthesia in 13 cases. 13 cases of successful rescue without sequelae, 4 cases of death. Eleven patients underwent tracheotomy during rescue. Experience and Lesson 1. The group of 17 patients were upper respiratory tract obstruction. Analysis of its causes: Postoperative residual mandibular transformation of the tongue after the fall in 7 cases (41.3%); secretions blocked and laryngeal edema in 6 cases