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小儿牙科拔牙全身麻醉的一种可怕并发症。

A frightening complication of general anaesthesia for paediatric dental extractions.

作者信息

Kumar D, Farrell T, Tierney E

机构信息

Department of Anaesthesia, Wexford General Hospital, Wexford, Ireland.

出版信息

Pediatr Surg Int. 2007 Jun;23(6):613-6. doi: 10.1007/s00383-006-1836-z. Epub 2007 Jan 9.

DOI:10.1007/s00383-006-1836-z
PMID:17211592
Abstract

We report a case of eight year old child who developed severe subcutaneous emphysema, bilateral pneumothorax, pneumomediastinum and pneumoperitonium in recovery room after apparently uneventful general anaesthesia for eight primary teeth extractions. Causes and treatment of these complications are discussed.

摘要

我们报告一例8岁儿童,在表面上平稳地接受了拔除8颗乳牙的全身麻醉后,在恢复室出现了严重的皮下气肿、双侧气胸、纵隔气肿和腹腔积气。本文讨论了这些并发症的病因及治疗方法。

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1
A frightening complication of general anaesthesia for paediatric dental extractions.小儿牙科拔牙全身麻醉的一种可怕并发症。
Pediatr Surg Int. 2007 Jun;23(6):613-6. doi: 10.1007/s00383-006-1836-z. Epub 2007 Jan 9.
2
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[Bilateral pleural, mediastinal and subcutaneous emphysema as a complication of general anasthesia].
Wiad Lek. 1979 Aug 1;32(15):1075-7.
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Bilateral spontaneous pneumothoraces, pneumopericardium, pneumomediastinum, and subcutaneous emphysema: a rare presentation of paraquat intoxication.双侧自发性气胸、心包积气、纵隔气肿和皮下气肿:百草枯中毒的罕见表现。
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本文引用的文献

1
Cervical emphysema, pneumomediastinum, and pneumothorax following self-induced oral injury: report of four cases and review of the literature.自我造成口腔损伤后并发颈部气肿、纵隔气肿及气胸:4例报告并文献复习
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2
Subcutaneous emphysema following trans-cricothyroid membrane injection of local anesthetic.经环甲膜注射局部麻醉药后出现皮下气肿。
Can J Anaesth. 2000 Feb;47(2):165-8. doi: 10.1007/BF03018854.
3
Pneumomediastinum, pneumothorax and subcutaneous emphysema complicating MIS herniorrhaphy.
微创疝修补术并发纵隔气肿、气胸和皮下气肿。
Can J Anaesth. 2000 Jan;47(1):69-72. doi: 10.1007/BF03020737.
4
Subcutaneous emphysema and pneumomediastinum after dental extraction.拔牙后皮下气肿和纵隔气肿
Am J Emerg Med. 1999 Nov;17(7):678-80. doi: 10.1016/s0735-6757(99)90158-4.
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Massive subcutaneous emphysema and sudden airway compromise after postoperative vomiting.
Anesth Analg. 1999 Sep;89(3):796-7. doi: 10.1097/00000539-199909000-00050.
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Pneumomediastinum following penetrating oral trauma.穿透性口腔创伤后纵隔气肿
Pediatr Emerg Care. 1997 Jun;13(3):211-3. doi: 10.1097/00006565-199706000-00008.
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Membranous tracheal rupture after endotracheal intubation.气管插管后膜性气管破裂
Ann Thorac Surg. 1995 Nov;60(5):1367-71. doi: 10.1016/0003-4975(95)00643-Y.
8
Diffuse subcutaneous emphysema, pneumomediastinum, and pneumothorax after dental extraction.拔牙后出现弥漫性皮下气肿、纵隔气肿和气胸。
Ann Emerg Med. 1993 Feb;22(2):248-50. doi: 10.1016/s0196-0644(05)80214-8.
9
Surgical emphysema and upper airway obstruction complicating recovery from anaesthesia.外科性气肿和上呼吸道梗阻使麻醉恢复复杂化。
Br J Anaesth. 1993 Oct;71(4):592-3. doi: 10.1093/bja/71.4.592.
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Subcutaneous facial emphysema complicating dental anaesthesia.
Can Anaesth Soc J. 1982 Jan;29(1):71-3. doi: 10.1007/BF03007953.