Stevenson Helen A, Steele John C, Field E Anne, Darroch Campbell J
Liverpool University, Dental Hospital and School of Dentistry, Liverpool, UK.
Prim Dent Care. 2004 Jan;11(1):17-9. doi: 10.1308/135576104322702769.
The following case reports describe the clinical presentation, diagnosis and management of two patients who attended Liverpool University Dental Hospital with rapidly increasing swelling of the lips and tongue. Both patients were suffering from angioedema and were taking an angiotension-converting enzyme (ACE) inhibitor (ACEI). A provisional diagnosis of ACEI-induced angioedema was made. An intramuscular injection of chlorpheniramine maleate was given to both patients and they were immediately transferred to the local accident and emergency department. These cases illustrate the potential role of the general dental practitioner in the early recognition and management of this potentially life-threatening condition.
以下病例报告描述了两名前往利物浦大学牙科医院就诊的患者的临床表现、诊断和治疗情况，这两名患者均出现嘴唇和舌头迅速肿胀。两名患者均患有血管性水肿，且正在服用血管紧张素转换酶（ACE）抑制剂（ACEI）。初步诊断为ACEI诱发的血管性水肿。两名患者均接受了马来酸氯苯那敏的肌肉注射，并立即被转至当地的急症室。这些病例说明了普通牙科医生在早期识别和处理这种潜在危及生命的疾病方面的潜在作用。
