光棒引导下气管插管抢救头颈部多发伤1例

Endotracheal intubation guided by light stick rescued multiple head and neck injuries：a case report

摘要:

目的 提高对头颈部严重多发伤患者气道管理的认识和救治水平。方法 报道一例利用光棒引导下非直视气管内插管抢救头颈部严重多发伤患者的临床资料并复习相关文献。结果 患者紧急行光棒引导下气管插管,成功开放困难气道,为后续抢救和治疗提供基础。结论 头颈部创伤伴口腔内活动性出血是造成患者窒息的主要原因,也是气道管理的难点。光棒引导下气管插管技术适用于急救中的气道管理,操作简便,成功率高,并发症少,可将其作为常规插管技术的补充推广,从而在急救中发挥出更好的实践优势。

Abstract:

Objective To improve the understanding and treatment of airway management for patients with severe multiple head and neck injuries. Methods This paper reported the clinical data of a patient with severe multiple head and neck injuries successfully treated by non-direct endotracheal intubation guided by light stick and reviewed relevant literature. Results The patient underwent emergency endotracheal intubation guided by light stick, successfully opening the difficult airway, providing a basis for subsequent rescue and treatment. Conclusion Head and neck trauma with active oral bleeding was the main cause of suffocation in patients, and also the difficulty of airway management. Tracheal intubation guided by light stick is suitable for airway management in first aid, with simple operation, high success rate and few complications. It can be promoted as a supplement to conventional intubation technology, so as to give play to better practical advantages in first aid.