颌面外科常因手术需要,需采用鼻腔插管麻醉,优点在于使气管导管固定较牢固,曲折的机会少,清醒病人痛苦小和尽可能少干扰手术区域。以往大多采用慢诱导或清醒插管。近年来,根据患者具体情况,笔者采用了咪唑安定、芬太尼、司可林快速诱导鼻腔插管,取得了良好的效果。报告如下:1 临床资料 择期手术患者70例,其中男性41例,女性29例,年龄7～78岁,健康标准(ASA)Ⅰ～Ⅱ级,本组患者均无病变,张口不受限,头 Oral and maxillofacial surgery is often due to surgical needs, the need for nasal intubation anesthesia, the advantage is that the tracheal tube fixed more secure, less chance of twisting, awake patients less painful and minimal interference with the surgical area. In the past mostly slow induction or awake intubation. In recent years, according to the specific circumstances of patients, the author used midazolam, fentanyl, Si Ke Lin rapid nasal cannulation, and achieved good results. The report is as follows: 1 clinical data Elective surgery in 70 patients, 41 males and 29 females, aged 7 to 78 years old, the standard of health (ASA) Ⅰ ~ Ⅱ grade, this group of patients without disease, mouth is not limited, the first