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上、下颌畸形行正颌外科矫正术,存在着独特的麻醉问题。此问题虽然在口腔外科杂志中报道过,但在麻醉学文献中并没有引起足够的重视。本文目的,是通过一罕见病例告诉麻醉医师,在上颌骨截骨术中,鼻气管导管或套囊导管有可能在鼻咽部被割裂。病例:患者系35岁女性,由于在双侧上颌前突作上、下颌前部截骨术进行矫治。用利多卡因行气管内表面麻醉,麻醉诱导静脉注射硫喷妥钠和司可林,直视下顺利地经鼻插入气管导管。麻醉维持用氧化亚氮、氧,并分次注射芬太尼和溴化潘可罗宁。
Upper and lower jaw orthodontics orthopedic surgery, there is a unique problem of anesthesia. Although this problem has been reported in Journal of Oral Surgery, it has not been given enough attention in the narcotic literature. The purpose of this paper is to tell the anesthesiologist through a rare case that the nasotracheal tube or cuff catheter may be fragmented in the nasopharynx during maxillary osteotomy. Case: The patient, a 35-year-old female, was treated by anterior maxillary protrusion and mandibular anterior osteotomy. Intravenous tracheal anesthesia with lidocaine, anesthesia induced by intravenous injection of sodium and sodium thiopental, under direct vision through the nasal endotracheal tube. Anesthesia was maintained with nitrous oxide, oxygen, and fentanyl and penicillin bromide were injected subcutaneously.