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[牙科钻孔术后的皮下气肿和纵隔气肿]

[Subcutaneous emphysema and pneumomediastinum after dental drilling].

作者信息

Jovanovic-Bateman L, Hedreville R

机构信息

CHU de Pointe-à-Pitre, Service ORL-Stomatologie, F-97159 Pointe-à-Pitre, Guadeloupe.

出版信息

Rev Laryngol Otol Rhinol (Bord). 2003;124(3):199-200.

Abstract

Subcutaneous emphysema and pneumomediastinum is a rare complication of dental treatment. Our case report describes a case secondary to dental drilling with a high-speed air drill, and diffusion of the compressed air. Our case had the classical clinical features of sudden subcutaneous emphysema starting in the face, and subsequently extending into the neck and thorax, accompanied by severe pain and dyspnoea. Rapid medical treatment for this emergency avoided the surgical decompression.

摘要

皮下气肿和纵隔气肿是牙科治疗中一种罕见的并发症。我们的病例报告描述了一例因使用高速气钻进行牙钻操作及压缩空气扩散继发的病例。我们的病例具有典型的临床特征,即面部突发皮下气肿,随后蔓延至颈部和胸部,伴有严重疼痛和呼吸困难。针对这一紧急情况的快速医疗处理避免了手术减压。

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