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目的 研究舌颌颈联合根治肌皮瓣修复后的患者突然窒息的主要原因。方法 作者从 1989～ 1992年对 36例舌颌颈联合根治肌皮瓣修复术后的患者进行研究 ,其中 4例发生窒息并且死亡。1.对这类病人术后进行全面监测 ;2 .对这类患者咽腔进行测量 ,并与正常人进行对照。结果 造成这类病人术后突然窒息的主要原因是咽腔过于狭窄和低血钾。结论 我科制定了相应的预防措施并应用于临床实践。在 1993～ 1997年所进行的这类手术共5 1例 ,无一例发生突然窒息
Objective To study the main causes of sudden asphyxia in patients with tongue and neck combined with radical myocutaneous flap repair. Methods From 1989 to 1992, 36 patients with tongue and neck combined with radical myocutaneous flap repair were studied. Among them, 4 developed asphyxia and died. 1. Complete monitoring of these patients after surgery; 2. Measurement of the pharyngeal cavity of these patients, and compared with normal controls. The main cause of sudden suffocation caused by these patients is the pharyngeal stricture and hypokalemia. Conclusion Our department has formulated corresponding preventive measures and applied it to clinical practice. In 1993-1997 a total of 51 such surgeries were performed, and no one had a sudden asphyxia