Đánh giá tỷ lệ và một số yếu tố tiên lượng đặt nội khí quản khó ở người bệnh phẫu thuật apxe vùng hàm mặt=The evaluation of the incidence and some predictive factors in difficult endotracheal intubation in patients undergoing surgery for facial abscess

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Hữu Tú Nguyễn, Quang Bình Nguyễn, Văn Luân Nguyễn, Doãn Tú Vũ

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Y học cộng đồng, 2024

Mô tả vật lý: tr.341-345

Bộ sưu tập: Metadata

ID: 242120

Thêm vào giỏ

Nghiên cứu này nhằm xác định tỷ lệ và làm rõ một số đặc điểm lâm sàng có giá trị trong tiên lượng đặt nội khí quản khó ở những người bệnh phẫu thuật apxe vùng hàm mặt. Đối tượng và phương pháp: Nghiên cứu tiến cứu, mô tả trên 347 người bệnh apxe hàm mặt được phẫu thuật tại Bệnh viện Răng Hàm Mặt Trung ương Hà Nội từ tháng 8/2023 đến tháng 10/2024. Kết quả: Độ tuổi trung bình của người bệnh là 48,92 ± 18,02 tuổi
tỷ lệ nam/nữ là 3/1,8. Vị trí apxe thường gặp là apxe cơ cắn (43,5%), dưới hàm (25,4%), apxe dưới hàm - sàn miệng - thành bên họng (20,8%). Tỷ lệ đặt nội khí quản khó 46,97%. Các yếu tố khít hàm, nuốt khó, khó thở, khàn tiếng, mất bờ nền xương hàm dưới, hạn chế vận động lưỡi có giá trị tiên lượng (p <
0,001). Kết luận: Tỷ lệ đặt nội khí quản khó là 46,97%. Các yếu tố có giá trị tiên lượng đặt nội khí quản khó là: khít hàm, tổn thương đường thở, phù nề sàn miệng - thành bên họng.Study aims to determine the rate and clarify some valuable clinical features in predicting difficult intubation in patients undergoing maxillofacial abscess surgery. Objects and methods: Prospective, descriptive study involved 347 patients with facial abscesses who undergoing surgery at the Central Maxillofacial Hospital in Hanoi from August 2023 to October 2024. Results: The average age of the patients is 48.92 ± 18.02 years
the ratio of male to female in the research is 3/1,8. The most common sites of abscesses are masseter muscle abscesses (43,5%), submandibular abscesses (25,4%), and submandibular - floor of mouth - lateral pharyngeal wall abscesses (20,8%). The rate of difficult endotracheal intubation are 46,97%. Factors such as jaw tightness, difficulty swallow, difficulty breathing hoarseness, loss of the lower jaw's bony margin and limited tongue movement are found to be significant predictive factors (p <
0.001). Conclusions: The rate of difficult endotracheal intubation is 46.97%. The predictive factors in difficult intubation including jaw tightness, airway obstruction and swelling of the floor of mouth - lateral pharyngeal wall.

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