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拔牙后需要心脏起搏的二度Ⅱ型房室传导阻滞和三度房室传导阻滞。

Second-degree atrioventricular block type II and third-degree atrioventricular block requiring cardiac pacing after tooth extraction.

作者信息

Kishimoto Naotaka, Toyonaga Tatsunori, Gotoh Motohiro, Kotani Junichiro

机构信息

Department of Anesthesiology, Osaka Dental University 1-5-17 Otemae, Chuo-ku, Osaka, 540-0008, Japan.

Second Department of Oral and Maxillofacial Surgery, Osaka Dental University 1-5-17 Otemae, Chuo-ku, Osaka, 540-0008, Japan.

出版信息

Clin Case Rep. 2015 Apr;3(4):274-7. doi: 10.1002/ccr3.197. Epub 2015 Feb 13.

DOI:10.1002/ccr3.197
PMID:25914824
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4405317/
Abstract

Because atrioventricular block can cause cardiovascular collapse, the rapid management of this condition is necessary. An 82-year-old man complained of discomfort after tooth extraction, and electrocardiography showed second- and third-degree atrioventricular blocks. Dentists should monitor patients who report discomfort using electrocardiography because of the possibility of life-threatening arrhythmia.

摘要

由于房室传导阻滞可导致心血管虚脱，因此必须对这种情况进行快速处理。一名82岁男性在拔牙后诉说不适，心电图显示二度和三度房室传导阻滞。由于存在危及生命的心律失常的可能性，牙医应对诉说不适的患者进行心电图监测。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70ab/4405317/286258e77877/ccr30003-0274-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70ab/4405317/df24cfd4074b/ccr30003-0274-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70ab/4405317/277fa3748960/ccr30003-0274-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70ab/4405317/286258e77877/ccr30003-0274-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70ab/4405317/df24cfd4074b/ccr30003-0274-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70ab/4405317/277fa3748960/ccr30003-0274-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70ab/4405317/286258e77877/ccr30003-0274-f3.jpg

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引用本文的文献

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Anesth Prog. 2016 Fall;63(3):156-9. doi: 10.2344/15-00042.1.

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Atrioventricular block in patients with thyroid dysfunction: prognosis after treatment with hormone supplementation or antithyroid medication.甲状腺功能障碍患者的房室传导阻滞：激素补充或抗甲状腺药物治疗后的预后。
J Cardiol. 2012 Oct;60(4):327-32. doi: 10.1016/j.jjcc.2012.05.012. Epub 2012 Jun 26.
3
Trigeminocardiac reflex: a MaxFax literature review.
三叉神经心脏反射：一项MaxFax文献综述。
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009 Aug;108(2):184-8. doi: 10.1016/j.tripleo.2009.03.050.
4
Trigeminocardiac reflex during temporomandibular joint arthroscopy: report of a case.颞下颌关节镜检查术中的三叉神经心脏反射：一例报告
J Oral Maxillofac Surg. 1999 Jul;57(7):854-6. doi: 10.1016/s0278-2391(99)90829-7.
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Systemic emergencies and their management in dentistry: complications independent of underlying disease.牙科中的全身急症及其处理：与基础疾病无关的并发症
Anesth Prog. 1996 Winter;43(1):29-35.