在对儿童进行全身麻醉下拔牙的术前评估中，仔细的体格检查至关重要。
Careful physical examination is essential in the preoperative assessment of children for dental extractions under general anesthesia.
作者信息
Rutherford John, Stevenson Ruth
机构信息
Dumfries and Galloway Royal Infirmary, Dumfries, DG1 4AP.
出版信息
Paediatr Anaesth. 2004 Nov;14(11):920-3. doi: 10.1111/j.1460-9592.2004.01320.x.
BACKGROUND
Physical examination is routinely carried out for the preoperative assessment of children, but is it of value in day stay community dental surgery?
METHODS
A prospective survey of new diagnoses made on children presenting for community dental extractions and compared with children having nondental surgery.
RESULTS
Five of 216 children for dental extractions were seen with new diagnoses made, with a variety of conditions including patent ductus arteriosus, aortic stenosis, ventricular septal defect and obstructive sleep apnea. No new diagnoses were made in 294 nondental children in the same period.
CONCLUSIONS
Physical examination provides a useful adjunct to the history in children undergoing community dental extraction. There is potentially significant morbidity undiagnosed in apparently fit children presenting for dental surgery.
背景
体格检查常用于儿童术前评估，但在日间社区牙科手术中是否有价值呢？
方法
对前来社区进行牙齿拔除的儿童进行新诊断的前瞻性调查，并与接受非牙科手术的儿童进行比较。
结果
在216名接受拔牙的儿童中，有5名被诊断出患有多种疾病，包括动脉导管未闭、主动脉狭窄、室间隔缺损和阻塞性睡眠呼吸暂停。同期294名非牙科手术儿童未发现新的诊断。
结论
体格检查对接受社区牙齿拔除的儿童病史提供了有用的辅助信息。在看似健康的儿童进行牙科手术时，可能存在未被诊断出的潜在严重疾病。
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