口腔医师应加强对门诊医疗突发事件的认知和处理能力  

Dentists should improve the ability to deal with medical emergencies in dental clinic

作　　者：潘剑[1] 廖学娟[1] 张壮[1] 

机构地区：[1]口腔疾病研究国家重点实验室华西口腔医院口腔外科(四川大学),成都610041

出　　处：《华西口腔医学杂志》2015年第4期336-338,共3页West China Journal of Stomatology

基　　金：2011年国家临床重点专科建设基金资助项目[卫办医政涵(2011)873号]

摘　　要：近年来,大型专科口腔医院口腔颌面外科门诊的就诊量在逐年增多,相应的医疗风险也随之增加,其中包括可能危及患者生命的医疗突发事件。最常见的突发事件有晕厥,其次是过度换气、药物过量、肾上腺素反应以及高血压等。突发事件主要发生在治疗结束未离开口腔诊室前、局部麻醉过程中或紧随局部麻醉后以及治疗过程中。牙齿拔除相关的突发事件最多,其次是局部麻醉相关。强烈提示口腔医师应该重视门诊临床突发事件的处理,进行相关知识和技能的培训,提高应对突发事件的能力。In recent years, the number of outpatients in stomatological hospital is in increasing year by year and being accompanied by the corresponding medical risks. One of the risks which may endanger the patient life is medical emergency which need emergency treatment by the dentists in dental clinical practice. The most common emergency type is syncope, followed by hyperventilation, drug overdose, adrenaline reaction and hypertension, etc. Unexpected events mainly occurred at the end of the treatment and before leaving the dental clinic, during or immediately after the local anesthesia, in the treatment process. Tooth extraction related emergency is the most frequently occurring emergency, followed by the local anesthesia related ones. It＇s strongly suggested that dentists should pay more attention to outpatient clinical emergency treatment, and related knowledge and skills training should be offered to improve the ability to handle medical emergencies.

关 键 词：口腔医师 突发事件 临床调查 预防 

分 类 号：R197.5[医药卫生—卫生事业管理]