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随着口腔颌面外科的发展,气管切开愈显其重要性.现将本科1986年~1995年接受气管切开的患者作一分析,仅供同仁参考.临床资料本组患者56例中男性37例,女性19例;年龄3个月~69岁.病变部位:颅颞上颌区1例,上颌咽侧区4例,下颌26例,颊咽部4例,舌-口底19例,颈部2例.病变性质:肿瘤36,其中恶性22例,占40%;良性14例,占25%.颞颌关节强直14例,外伤4例;颈部感染2例.气管切开原因:麻醉困难17例,其中颞颌关节强直14例,口腔肿瘤3例.预防性气管切开31例.紧急救治切开8例,其中外伤5例,手术后窒息3例.气管并发症:切口渗血6例,皮下气肿5例,痰、痂阻塞3例.
With the development of oral and maxillofacial surgery, tracheostomy the more significant the importance of now undergraduate from 1986 to 1995 for tracheotomy patients make an analysis, for reference only colleagues clinical data of 56 patients in this group of men 37 cases and 19 females, ranging in age from 3 months to 69 years. Lesions: 1 case in the skull temporomandibular area, 4 cases in the maxillary pharyngeal region, 26 cases in the mandible, 4 cases in the cheek and pharynx, 19 cases in the tongue-floor, Department of 2 cases. Lesions nature: tumor 36, of which 22 cases of malignant, 40%; benign in 14 cases, 25% .Tooth temporomandibular joint ankylosis in 14 cases, trauma in 4 cases, 2 cases of neck infection. Tracheotomy reasons: anesthesia Difficulties in 17 cases, including temporomandibular joint ankylosis in 14 cases, 3 cases of oral tumors .Preventional tracheotomy in 31. Emergency treatment of open incision in 8 cases, 5 cases of trauma, asphyxia after surgery in 3. Tracheal complications: incision bleeding 6 cases, subcutaneous emphysema in 5 cases, sputum, scab in 3 cases.