经鼻腔气管套管留置在舌根部术后的应用

目的 预防舌根部手术后因舌根部水肿、舌后坠导致的呼吸困难。方法 经鼻腔气管插管，全麻成功行舌根部手术，术毕气管套管留置48～72h，氯丙嗪、异丙嗪各100mg加入5%GS 500mL中静滴，维持患者冬眠状态，及时清理下呼吸道分泌物。结果有效预防了患者术后窒息发生。结论 经鼻腔气管套管留置在舌根部术后能有效预防舌根部术后水肿导致的呼吸困难。

Nasal tracheal casing lien postoperatively applied in the root of the tongue

Objective To prevent the anhelation caused by hydronacus of the root of the tongue and glossoccomn after operation on the root of the tongue. Methods After tracheal intubation by the nasal cavity and general narcosis, an operation was carried out on the root of the tongue and the raw surface was over sown. After the operation, the tracheal cannula was kept for 48 to 72 hours. Wintermin(100?mg) and phernargan(100?mg) in 5%GS(500?mL) were given to keep the patients in a state of hibernation. Results Choking was effectively avoided and secretions of the lower respiration tract were cleaned up in time. Of the 10 patients, none died of airway obstruction. Conclusions This method can effectively prevent anhelation caused by hydronacus after operation on the root of the tongue.