关键词: 环甲膜穿刺术；环甲膜切开术；急救；窒息

Abstract:

Objective  To study the clinical application of thyrocricocentesis and thyrocricotomy.  Methods  Patients with IVdegree dyspnea were rescued with surgery, including thyrocricocentesis on 19 patients (15 before and 4 during tracheotomy) and thyrocricotomy on 6 patients.  Results  All the 19 patients accepting  thyrocricocentesis were successfully saved. Though tracheal cannula was successfully intubed in all 6 patients accepting thyrocricotomy, 3 patients died in one hour,1 died 24 hours later due to multiple organ failure, and 2 were alive and accepted tracheotomy after their condition was stable.  Conclusion  Thyrocricocentesis combined with tracheotomy can remove airway obstruction in most patients with IV-degree dyspnea. Thyrocricotomy is applicable to patients whose blood oxygen saturation is ＜90% and declined progressively and rapidly, and patients with suffocation induced by upper airway hemorrhea, and patients with sudden cessation of breath.

Key words: Thyrocricocentesis；Thyrocricotomy； Emergency； Suffocation