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最近我室开展静脉复合麻醉配合环甲膜穿刺后高频喷射通气,在支撑喉镜下行喉显微手术,总结如下: 1 临床资料 静脉复合麻醉配合KR-Ⅱ型开放式喷射呼吸机,经环甲膜穿刺后高频喷射通气,在支撑喉镜下行喉显微手术共18例。男13例,女5例,年龄26～60岁,平均42岁。全部病例呼吸道通畅,其中声带息肉12例,声带小结2例,声带淀粉样变1例,其它3例。行声带息肉(或小结)等摘除或采用激光切割手术,术中出现皮下气肿3例,术后自行消失。
Recently I carried out intravenous anesthesia with high-frequency jet ventilation after cricothyroid membrane punctures, laryngeal microsurgery laryngoscope in the laryngoscope, summarized as follows: 1 clinical data venous composite anesthesia with KR-Ⅱ open jet ventilator, the ring Venous puncture after high-frequency jet ventilation, throat microsurgery in the laryngoscope support a total of 18 cases. 13 males and 5 females, aged 26 to 60 years, mean 42 years old. All cases of respiratory tract patency, vocal cord polyps in 12 cases, vocal nodules in 2 cases, 1 case of vocal cord amyloidosis, the other 3 cases. Vocal cord polyps (or summary), or removal of laser cutting surgery, intraoperative subcutaneous emphysema in 3 cases, disappear after surgery.