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[针头折断:局部麻醉期间一种罕见且可能危险的并发症]

[Needle breakage: a rare and potentially dangerous complication during local anaesthesia].

作者信息

Dojcinovic I, Hugentobler M, Richter M

机构信息

Service de chirurgie maxillofaciale et de chirurgie buccale, département de chirurgie, hôpital cantonal de Genève, 24, rue Micheli-du-Crest, 1211 Genève, Suisse.

出版信息

Rev Stomatol Chir Maxillofac. 2007 Jun;108(3):222-4. doi: 10.1016/j.stomax.2006.10.005. Epub 2007 Apr 2.

Abstract

INTRODUCTION

Needle breakage is a rare complication during local oral anesthesia administration. The authors describe the surgical procedure used to remove a broken dental needle and how to prevent this complication.

CASE REPORT

The authors present the case of a 52-year-old man who was referred by his general dental practitioner for needle breakage during an inferior alveolar nerve block. Surgical management involved localizing the broken needle using radioscopy and removing it under general atomax 00041 anesthesia.

DISCUSSION

Today, needle breakage during local anesthesia is mainly attributed to an incorrect anesthetic injection technique. The prevention, investigation, and management of such complication are discussed.

摘要

引言

针头折断是局部口腔麻醉给药过程中一种罕见的并发症。作者描述了用于取出折断牙针的手术过程以及如何预防这种并发症。

病例报告

作者介绍了一名52岁男性的病例,该患者由其普通牙科医生转诊,因在下牙槽神经阻滞麻醉期间发生针头折断。手术处理包括使用X线透视定位折断的针头,并在全身麻醉下将其取出。

讨论

如今,局部麻醉期间的针头折断主要归因于不正确的麻醉注射技术。本文讨论了此类并发症的预防、检查及处理。

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