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本文引用的文献

1
Occular complications following dental local anesthesia.眼部麻醉相关并发症。
Med Oral Patol Oral Cir Bucal. 2011 Aug 1;16(5):e688-93. doi: 10.4317/medoral.17078.
2
Upper lip blanching and diplopia associated with local anaesthesia of the inferior alveolar nerve.与下牙槽神经局部麻醉相关的上唇苍白和复视。
Br Dent J. 2007 Jan 13;202(1):32-3. doi: 10.1038/bdj.2006.114.
3
Permanent vision loss in one eye following administration of local anesthesia for a dental extraction.拔牙局部麻醉后单眼永久性视力丧失。
Int J Oral Maxillofac Surg. 2005 Mar;34(2):220-3. doi: 10.1016/j.ijom.2004.04.010.
4
Temporary uniocular blindness and ophthalmoplegia associated with a mandibular block injection. A case report.下颌阻滞注射相关的暂时性单眼失明和眼肌麻痹。病例报告。
Aust Dent J. 2000 Jun;45(2):131-3. doi: 10.1111/j.1834-7819.2000.tb00253.x.
5
Ocular complications of dental local anaesthesia.牙科局部麻醉的眼部并发症。
SADJ. 1998 May;53(5):235-8.
6
Transient amaurosis after mandibular nerve block.下颌神经阻滞术后短暂性黑矇
Br Med J. 1967 Mar 18;1(5541):681. doi: 10.1136/bmj.1.5541.681.
7
Ocular complication of inferior dental nerve block. A case report.下牙槽神经阻滞的眼部并发症。病例报告。
Br Dent J. 1972 Jan 4;132(1):23-4. doi: 10.1038/sj.bdj.4802790.
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Hysterical blindness during dental anaesthesia.牙科麻醉期间的癔症性失明。
Br Dent J. 1987 Apr 11;162(7):267. doi: 10.1038/sj.bdj.4806102.
9
Amaurosis and atrophy of the optic nerve: an unusual complication of mandibular-nerve anesthesia.黑矇与视神经萎缩：下颌神经麻醉的一种罕见并发症。
Ann Ophthalmol. 1988 May;20(5):170-1.
10
The human maxillary artery reinvestigated: I. Topographical relations in the infratemporal fossa.人上颌动脉再研究：I. 颞下窝的局部关系
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下牙槽神经阻滞麻醉后暂时性失明

Temporary Blindness after Inferior Alveolar Nerve Block.

作者信息

Barodiya Animesh, Thukral Rishi, Agrawal Shaila Mahendra, Rai Anshul, Singh Siddharth

机构信息

Senior Resident, Department of Dentistry, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.

Professor, Department of Oral and Maxillofacial Surgery, Modern Dental College and Research Institute, Indore, Madhya Pradesh, India.

出版信息

J Clin Diagn Res. 2017 Mar;11(3):ZD24-ZD25. doi: 10.7860/JCDR/2017/24184.9601. Epub 2017 Mar 1.

DOI:10.7860/JCDR/2017/24184.9601
PMID:28511527
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5427453/
Abstract

Inferior Alveolar Nerve Block (IANB) anaesthesia is one of the common procedures in dental clinic. This procedure is safe, but complications may still occur. Ocular complications such as diplopia, loss of vision, or ophthalmoplegia are extremely rare. This case report explains an event where due to individual anatomic variation of the sympathetic vasoconstrictor nerve and maxillary and middle meningeal arteries, intravascular administration of anaesthetic agent caused unusual ocular signs and symptoms such as temporary blindness.

摘要

下牙槽神经阻滞（IANB）麻醉是牙科诊所常见的操作之一。该操作是安全的，但仍可能发生并发症。复视、视力丧失或眼肌麻痹等眼部并发症极为罕见。本病例报告解释了由于交感缩血管神经以及上颌动脉和脑膜中动脉的个体解剖变异，麻醉剂血管内注射导致了如暂时性失明等异常眼部体征和症状的事件。