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喉阻塞

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Such children were not caused by the throat-ming weakness caused by laryngeal cartilage, but when inspiratory arytenoid cartilage move downward rotation, the relaxation of their organizations to the sound in front of the Ministry of processes, blocking occurs supraglottic laryngeal ming.

这种患儿之喉鸣并非因喉软骨软弱所致,而是当吸气时杓状软骨向前向下转动,其上的松弛组织向声门前部突起,阻塞声门而发生喉鸣。

Methods: The obstruction in both the oropharynx and the hypopharynx were determined by fiberoptic pharyngolaryngoscopy and Müller examination in 34 patients with severe OSAHS.

对34例重度OSAHS患者行纤维喉镜检查并结合Müller试验,确定阻塞同时存在口咽及舌咽平面。

Result: Of 35 cases ,for 17 the narrowing regions located in velopharynx companying with the oropharynx narrowings, and 8 of 17 with hypopharyngeal narrowings more; 2 cases in oropharynx only,; 5 in hypopharynx ; 2 of 3 cases after uvuloplatopharyngoplasty got hypopharyngeal narrowings, and the other one still had velopharyngeal narrowings.

结果:33例患者中,鼻咽部阻塞22例,均伴口咽部阻塞,同时伴喉咽阻塞者9例;3例系单纯口咽阻塞,伴扁桃体肥大,8例为喉咽阻塞,悬雍垂咽成形术后3例中,2例为喉咽阻塞,1例仍为鼻咽阻塞。多个部位狭窄者睡眠呼吸暂停更为严重。

Louis University - For children who suffer from obstructive sleep apnea, a tonsillectomy and adenoidectomy can provide dramatic relief and is successful in solving sleep problems for 80 to 90 percent of children, according to a study published in a recent issue of The Laryngoscope .

圣路易斯大学-为儿童谁患上阻塞性睡眠呼吸暂停,扁桃体和腺样体切除术可以提供救济和戏剧性的是成功的在解决睡眠问题,为8 0至9 0%的儿童,根据公布的一项研究表明在最近一次的问题该喉镜。

The patient after complete hemp drops after incidental tongue ministry of block larynx pharynx, the common cause that this is respiratory tract block [3] , often happen at pulling out the narcotic after tracheal spile, skeletal flesh is flabby medicine the patient that rudimental muscle strength has not recover completely [4] , as a result of ministry of old people mouth and pharynx ministry musculature is flabby, fat person cervical short, give out when breath lose by force the snore that differ, contain chirp news sometimes, expression is not block of complete respiratory tract [5, 6] , and pulse oxygen degree of saturation (SpO2) is shown undertake the gender drops.

全麻后患者轻易发生舌后坠阻塞喉咽部,这是呼吸道梗阻的常见原因[3],常发生于拔除气管插管后麻醉药、骨骼肌松弛药残留肌力尚未完全恢复的患者[4],由于老年人口部和咽部肌肉组织松弛,肥胖者颈部短,呼吸时发出强弱不等的鼾声,有时带有哨音,表现为不完全呼吸道梗阻[5,6],而脉搏氧饱和度(SpO2)呈进行性下降。

Among respiratory causesof arrest (27%), airway obstruction from laryngospasm was themost common cause.

在呼吸因素(27%)中喉痉挛引起的气道阻塞最常见。

Through analyzing the causes and nursing of non-planning extubation, The main causes were decannulation themselves, laryngospasm, blocking with sputum, non-aerated capsula or aerated capsula injuring.

认为 :患儿不合作自行拔管、喉痉挛、痰痂阻塞、无充气套囊或充气套囊破裂是致非计划拔管的主要原因。

Sleep apnea ; obstructive ; Otorhinolaryngologic surgical procedures

睡眠呼吸暂停;阻塞性;耳鼻喉外科手术

Sleep apnea, obstructive; Otorhinolaryngologic surgical procedures; Positive-pressure respiration; Tracheotomy

睡眠呼吸暂停,阻塞性耳鼻喉外科手术正压呼吸气管切开术

MethodsFrom January 2003 to June 2008, 109 (98 males and 11 females) cases of severe OSAHS were treated with UPPP. All patients were checked with a fiber optic laryngoscope of Muller and X-ray or CT for upper air flue when they were in a waking state to locate the collapse level (oropharyngeal and palatopharyngeal level, most of them had an obstruction on the oropharyngeal level). After the UPPP, they were sent to the ICU and monitored with trachea cannula for 1 to 2days.

方法对重度OSAHS患者行UPPP联合舌骨悬吊术109例,每例患者术前均行清醒状态纤维喉镜下Muller检查、上气道的X线片或上气道CT测量,术前确定阻塞平面为腭-咽及舌-咽平面,但以舌-咽平面为主,均行UPPP联合舌骨悬吊术,术后均于ICU保留气管插管监护1~2d。

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