摘要
临床中困难气道的发生率可能在1％-4％之间，原因大致分为医源性和患者自身因素。常用的困难气道评估方法包括开口度、上下唇咬合实验、甲颏间距、胸颏间距、下颌骨长度、颈部活动度、Mallampati与Comack—Lehane分级法及Wilson综合风险评估法等。另外还可以利用MRI、CT及喉内镜等对困难气道进行正确的评估。但是这些方法在临床上实际应用其阳性率、特异性及敏感度尚存在分歧。怎样才能更准确地对困难气道进行评估仍在不断的探索中。
The incidence rate of the difficult airway may be from 1% to 4% in clinical practice. Usually the cause is roughly divided into iatrogenic and patientself. The difficult airway evaluative methods which are commonly used include mouth opening, upper（lower） lip articulation experiment, thyromental distance, sternomental distance, mandible length, cervical part activity and Mallampti , Comack-Lehane classification and Wilson risk sum score etc. In addition, we still can utilize MRI, CT and laryngendoscope to evaluate the difficult airway. But the masculine rate, specificity and sensitivity of the methods exist disagreement in the clinical service use. How to evaluate the difficult airway more exactly is still being explored.
出处
《安徽医药》
CAS
2009年第3期239-241,共3页
Anhui Medical and Pharmaceutical Journal
基金
安徽省卫生厅应用技术项目(No06B120)
关键词
困难气道
评估方法
临床相关性
difficult airway
evaluative methods
clinical dependability
