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气管插管牙齿护垫的应用

Application of Teeth Protector for Protecting Teeth During Tracheal Intubation

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【作者】 吴安宏李喜荣

【Author】 WU Anhong,LI Xirong Department of Anesthesiology,Affilated Tumor Hospital,Medical College of Shantou University,Shantou 515041,China

【机构】 汕头大学医学院肿瘤医院麻醉科汕头大学医学院肿瘤医院麻醉科 汕头市515041汕头市515041

【摘要】 目的 用简单的方法防止或减轻全麻气管插管过程中病人牙齿损伤。方法 牙齿护垫的制作 :取一块长 80mm ,宽 30mm ,厚 1mm的纯铝片 ,先折成 8cmU字型 ,再将其弯曲成人牙齿排列的形状 (半径约 3cm) ,最后将其边角磨钝即可。牙齿护垫的使用 :气管插管全麻病人在麻醉诱导满意后 ,将其套在牙齿上 ,再按常规置入麻醉喉镜暴露声门进行气管插管。结果 全组 85例病人无牙齿折断或脱落 ,插管均顺利完成。其中 5例病人由于术前牙齿有较为严重病变 ,气管插管过程牙齿松动加剧同时伴牙龈出血。结论 牙齿护垫制作简单、使用方便 ,可防止或减轻气管插管过程中病人牙齿损伤

【Abstract】 Objective A simple method for protecting teeth or reducing the injury during tracheal intubations. Methods Making of the teeth protector:Take a piece of aluminium foil (80×30×1mm) to be bent to a 80cm long U shape then along one side made it as the curve of teeth order(radius 3cm).Use of teeth protector:Cover the loose or absent teeth before exposing the vocal cords with the Macintosh curved blade laryngoscope.Results 85 patients with loose or absent teeth had accomplished the vocal cords exposure and tracheal intubations without any teeth losses or broke.5 patients had got their teeth looser than before and bleeding in the gum because their teeth shaking seriously.There were no significant differences on conduct of laryngoscopy with or without the use of teeth protector.Conclusion The teeth protector can produce protective effects on patients of loose or absent teeth during tracheal intubations.

【关键词】 牙齿牙齿护垫气管插管全身麻醉
【Key words】 ToothTeeth protectorTracheal intubations
  • 【文献出处】 医药论坛杂志 ,Journal of Medical Forum , 编辑部邮箱 ,2004年14期
  • 【分类号】R614
  • 【被引频次】3
  • 【下载频次】60
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