51例拔牙后出血的原因和处理  

The cause and management of 42 cases of postextraction hemorrhage

作　　者：孙晓晨[1] 李小东[1] 孙磊[1] 

机构地区：[1]延安市人民医院口腔科,陕西延安716000

出　　处：《医学美学美容（中旬刊）》2013年第8期204-205,共2页

摘　　要：目的：探讨拔牙后出血的原因及急诊处理的方法。方法：回顾性分析51例拔牙后出血急诊患者的出血原因及处理方法。结果：本组病例拔牙后出血主要由局部因素引起，其中牙龈撕裂伤8例，下颌阻生牙11例，全身因素所致出血较少，其中高血压4例，妇女月经期4例，血液系统疾病6例。经口腔科急诊处理治愈45例，血小板减少症3例，白血病及血友病患者给予牙槽窝压迫处理后转入转入内科及血液科继续行原发病治疗，后出血停止。结论：拔牙后出血为口腔科常见的并发症，应严格把握拔牙适应症，术中小心操作，术后常规拔牙后医嘱。急诊处理时应兼顾局部与全身，必要时会同内科医生进一步检查，明确病因，进行治疗。Objective To investigate the pathogenesis of postextraction hemorrhage and the methods of the emergency treatment. Method 51 emergency cases of postextraction hemorrhage were studied retrospectively. Result 45 of the 51 cases were cured with emergency treatment in our stomatology hospital. 6 cases were still errhysis after treatment,and they all tsansfer to the department of hemopathioc of general hospital. Conclusion postextraction hemorrhage was the most common complication and emergency in the department of stomatology, and it shoud be prevented first. Both local and general conditions should be taken account of when the emergency treatment was given,and further examinations should be done to determine the pathogenesis if necessary.

关 键 词：拔牙 术后出血 

分 类 号：R782.11[医药卫生—口腔医学]