近年来学者们发现面中份和颅底骨折患者鼻腔气管内插管具有危险性,如入颅、鼻出血、喉损伤、鼻窦炎、脓毒血症、不能通过鼻道等;口内插管则妨碍颌骨固定;而气管切开术则易伴发感染、出血、皮下气肿,舌咽神经损伤等,一些学者主张应尽量避免使用气管切开术。因而作者介绍一种首次由Altermir 1986年描述的呼吸道处理技术。 In recent years, scholars have found that patients with mid-face and skull fracture nasal endotracheal intubation is dangerous, such as craniocerebral hemorrhage, laryngeal injury, sinusitis, sepsis, can not through the nasal passages; intraoral intubation Hindered the jaw fixed; and tracheotomy is easy to accompany infection, bleeding, subcutaneous emphysema, glossopharyngeal nerve injury, some scholars advocate should avoid tracheotomy. The author therefore introduced an airway treatment technique first described by Altermir in 1986.