气管切开术是保持呼吸道通畅、预防和解除室息常用的手术。其并发症多见于局部出血、感染、皮下或纵隔气肿、气管后壁及食管损伤等,合并心动过缓者少见。现报告一例。 刘某,男、18岁、1984年4月3O日被炮弹炸伤、颌面部弹片存留,急诊入院。专科检查,口外:双颌下及口底区极度肿胀,左颌下盲管伤,弹片穿过口底滞留于对侧颌下;口内:舌下于血水肿,舌体抬高后坠,呼吸不畅。治疗:局麻下行气管切开、局部 Tracheotomy is to keep the airway open, to prevent and relieve common ventricular septal surgery. Its complications more common in local bleeding, infection, subcutaneous or mediastinal emphysema, tracheal wall and esophageal injury, combined with bradycardia rare. Now report a case. Liu, male, 18 years old, was injured by a shell on April 30, 1984, leaving a maxillofacial shrapnel and an emergency room. Specialist examination, outside the mouth: extreme submandibular and floor area swollen, the left mandibular blind tube injury, shrapnel stuck through the mouth of the contralateral submandibular mouth; mouth: sublingual hemorrhage, tongue elevation after falling, breathing Poor. Treatment: local anesthesia tracheotomy, local