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口腔内局部麻醉后的眼科并发症:病例报告及文献复习。

Ophthalmologic complications after intraoral local anesthesia: case report and review of literature.

机构信息

Department of Oral and Maxillofacial Surgery, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.

出版信息

Oral Surg Oral Med Oral Pathol Oral Radiol. 2012 Jun;113(6):e1-5. doi: 10.1016/j.tripleo.2011.07.032. Epub 2012 Feb 18.

Abstract

Intraoral administration of local anesthetics is one of the most common dental procedures. Ophthalmologic complications can occur after maxillary as well as mandibular local anesthetic injections and may be underreported and sometimes misinterpreted. A review of the literature from the years 1936-2011 shows 131 cases with this type of complication. This case report presents a patient with right lateral rectus muscle palsy and blurred vision after bimaxillary anesthesia. Signs, symptoms, and pathophysiologic hypotheses of these complications are presented.

摘要

口腔内给予局部麻醉是最常见的牙科治疗之一。在上颌和下颌局部麻醉注射后可能会发生眼科并发症,并且可能报告不足和有时被误解。对 1936 年至 2011 年文献的回顾显示有 131 例此类并发症。本病例报告介绍了一名双侧麻醉后出现右侧外直肌麻痹和视力模糊的患者。本文介绍了这些并发症的体征、症状和病理生理假说。

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