老年患者拔牙并发颈面部及纵隔气肿：一种可预防的并发症。
Cervicofacial and mediastinal emphysema complicating tooth extraction in an elderly patient: a preventable complication.
作者信息
Akra Gabriel Ayonmigbesimi, Yousif Khalid
机构信息
Emergency, Albury Wodonga Health Albury Campus, Albury, Australia.
Emergency Department, South West Health Campus, Bunbury, Australia.
出版信息
BMJ Case Rep. 2017 May 24;2017:bcr-2017-219245. doi: 10.1136/bcr-2017-219245.
Subcutaneous emphysema is widely documented in the literature and well known by doctors and dentists. However, subcutaneous emphysema following tooth extraction is not very common.We report the case of a 72-year-old female who presented to the emergency department of the Bunbury Hospital in Bunbury in the state of Western Australia in Australia, with subcutaneous emphysema of the face and neck with extension into the mediastinum, following a complicated tooth extraction in 2016. It was a dramatic and scary occurrence for both the patient and dentist, but totally preventable. The investigations and treatment could have been very invasive. However, with limited and essential management, the process was kept simple and safe for the patient.
皮下气肿在文献中有广泛记载，医生和牙医也都熟知。然而，拔牙后出现皮下气肿的情况并不常见。我们报告一例72岁女性病例，该患者于2016年在澳大利亚西澳大利亚州本伯里的本伯里医院急诊科就诊，在经历复杂拔牙后出现面部和颈部皮下气肿，并蔓延至纵隔。这对患者和牙医来说都是一个戏剧性且可怕的事件，但完全可以预防。相关检查和治疗本可能具有很强的侵入性。然而，通过有限且必要的处理，整个过程对患者而言保持了简单和安全。
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