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目的:分析口腔颌面部创伤急救和麻醉的措施及效果。方法:选取我院于2004年3月到2010年3月收治的82例口腔颌面部创伤患者,对其临床资料进行回顾性分析。结果:手术前2例患者接受气管切开,术后3例病患气管切开,手术完毕后,4例病患出现拔管后的口腔颌面出血,引发呼吸困难。结论:口腔颌面部创伤急救和麻醉的措施为:首先迅速进行气管插管,通畅患者呼吸道。其次清洁创面,将血液、异物以及分泌物都吸除干净。另外,需观察气管导管位置是否正常,通气是否顺畅,并严密关注患者的血容量,必要时进行抗休克治疗。
Objective: To analyze the first aid and anesthesia of oral and maxillofacial trauma and the results. Methods: A total of 82 patients with oral and maxillofacial trauma admitted in our hospital from March 2004 to March 2010 were selected and their clinical data were retrospectively analyzed. Results: Two patients underwent tracheotomy before surgery and three patients underwent tracheotomy. After operation, four patients experienced oral and maxillofacial bleeding after extubation, causing dyspnea. Conclusion: The first aid and anesthesia of oral and maxillofacial trauma are as follows: Firstly, tracheal intubation should be carried out rapidly and the respiratory tract of patients should be unblocked. Second, clean the wound, the blood, foreign body and secretions are sucked clean. In addition, the need to observe the tracheal tube position is normal, ventilation is smooth, and pay close attention to the patient’s blood volume, if necessary, anti-shock treatment.