摘要
目的:探讨拔牙术所致严重并发症的原因及处理对策。方法:收治行拔牙术所致严重的并发症患者37例,对并发症分别进行针对性处理:下颌骨骨折行手法复位及固定;误入舌侧间隙给予下颌切开取出;误入上颌窦给予尖牙窝骨面开窗取出;对牙根尖部入槽神经管的患者不予处理,随访1个月;注射器针头断裂者在X线透视下取出;术后出血者给予止血;对术后感染者给予清创及抗感染治疗。结果:37例患者经处置后均获得了满意的效果。结论:口腔科门诊拔牙中严重并发症比较常见,应该加强医务人员的规范操作和注重意识,避免严重并发症的发生,发生并发症后做出适当的处置。
Objective:To investigate the cause and treatment strategy of severe complications caused by tooth extraction.Method:37 cases of serious complications caused by the operation of the extraction of teeth were selected,and the complications were giventargeted treatment respectively. The fracture of mandible was treated with manipulation reduction and fixation;the tongue into theside gap was given mandibular dissection; the tongue into the maxillary antrum was given canine fossa fenestration bone removal;the root tip was not treated in the treatment of patients with nerve canal,and the patients were followed up 1 month;the fracture ofthe syringe needle was taken out under the X-ray;the postoperative bleeding patients were given hemostasis;the postoperativeinfections patients were treated with debridement and anti infection. Results: After disposal,37 cases were obtained satisfactoryresults.Conclusion:It is common to have serious complications of extraction in the department of stomatology.The medicalpersonnel should be strengthened to standardize operation and focus on consciousness,and to avoid serious complications andmake appropriate disposal after complications.
作者
佘振华
She Zhenhua(Department of Stomatology,the People's Hospital of Jinghong City,Yunnan Province 666100)
出处
《中国社区医师》
2016年第6期100-101,共2页
Chinese Community Doctors
关键词
口腔外科门诊
拔牙
严重并发症
Oral surgery clinic
Extraction
Severe complications
