Ozaki Hisashi, Tachibana Hirohiko, Ishikawa Shigeo, Yusa Kazuyuki, Kitabatake Kenichirou, Iino Mitsuyoshi
Department of Dentistry, Oral and Maxillofacial-Plastic and Reconstructive Surgery, Faculty of Medicine, Yamagata University, 2-2-2 Iida-Nishi, Yamagata 990-9585, Japan.
Case Rep Dent. 2016;2016:6053652. doi: 10.1155/2016/6053652. Epub 2016 May 30.
A case of disseminated intravascular coagulation (DIC) presenting after surgery for facial trauma associated with multiple facial bone fractures is described. With regard to the oral and maxillofacial region, DIC has been described in the literature following head trauma, infection, and metastatic disease. Until now, only 5 reports have described DIC after surgery for facial injury. DIC secondary to facial injury is thus rare. The patient in this case was young and had no medical history. Preoperative hemorrhage or postoperative septicemia may thus induce DIC.
本文描述了1例因面部多发骨折创伤手术后出现弥散性血管内凝血(DIC)的病例。关于口腔颌面部区域,文献中曾报道过头外伤、感染及转移性疾病后发生DIC的情况。迄今为止,仅有5篇报道描述了面部损伤手术后发生DIC的情况。因此,继发于面部损伤的DIC较为罕见。本例患者较为年轻,且无病史。术前出血或术后败血症可能诱发了DIC。