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临床常用的麻醉插管、插胃管(胃肠减压、洗胃、鼻饲等)、直接喉镜、气管镜、食管镜检查五项操作,造成喉内损伤,在基层医院并不少见。我们于近5年内共收集到由五项操作引起的喉内损伤共31例(见下页附表),鉴于常见,现将有关问题总结讨论如下,以期引起同道之关注。病例资料 31例中男22例,女9例。年龄最小8岁,最大46岁。其症状有轻重不同的喉痛、颈部痛、吞咽痛、发音嘶哑、饮水呛咳、咳血、轻度呼吸困难、胸闷等,经间接喉镜等检查,确诊损伤的疾病见附表,其中喉粘膜充血水肿28例,因为五项操作
Common clinical anesthesia intubation, stomach tube (gastrointestinal decompression, gastric lavage, nasal feeding, etc.), direct laryngoscopy, bronchoscopy, esophagoscopy five operations, resulting in intrathoracic injury, is not uncommon in primary hospitals. In the past five years, we collected a total of 31 cases of intrathoracic injury caused by five operations (see the attached table on the next page). In view of the common problems, the relevant issues are summarized as follows, with a view to arousing fellow public concern. Among 31 cases, 22 were male and 9 were female. Youngest 8 years old, maximum 46 years old. The symptoms are different severity of sore throat, neck pain, swallowing pain, hoarseness, cough, blood cough, mild dyspnea, chest tightness, etc., by indirect laryngoscopy and other tests, diagnosis of injury disease see Schedule, of which Throat mucosal congestion edema in 28 cases, because of the five operations