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注射局部麻醉剂后牙关紧闭。

Trismus after injection of local anesthetic.

作者信息

Stone J, Kaban L B

出版信息

Oral Surg Oral Med Oral Pathol. 1979 Jul;48(1):29-32. doi: 10.1016/0030-4220(79)90231-7.

DOI:10.1016/0030-4220(79)90231-7
PMID:287983
Abstract

Persistent pain at the site of injection is the most common complication of local anesthesia in the oral cavity. The complication of trismus after local anesthetic injection is rare and may be prevented by the use of short needles for maxillary posterior injections, and by the avoidance of multiple injections in a short period time. Once trismus develops, its progression to chronic hypomobility and fibrous ankylosis may be prevented by the early institution of treatment consisting of heat, analgesics, muscle relaxants, and exercises.

摘要

注射部位持续疼痛是口腔局部麻醉最常见的并发症。局部麻醉注射后发生牙关紧闭的并发症较为罕见,对上颌后部注射使用短针以及避免在短时间内多次注射可预防该并发症。一旦发生牙关紧闭,通过早期采用包括热敷、镇痛药、肌肉松弛剂和锻炼的治疗措施,可防止其发展为慢性活动受限和纤维性关节强直。

相似文献

1
Trismus after injection of local anesthetic.注射局部麻醉剂后牙关紧闭。
Oral Surg Oral Med Oral Pathol. 1979 Jul;48(1):29-32. doi: 10.1016/0030-4220(79)90231-7.
2
Lateral pharyngeal space abscess as a consequence of regional anesthesia.
J Am Dent Assoc. 1991 Jun;122(6):56-9. doi: 10.1016/s0002-8177(91)26018-3.
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Postinjection trismus due to formation of fibrous band.
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4
Local anesthesia: agents, techniques, and complications.局部麻醉:药物、技术及并发症
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[Lockjaw after local anesthesia].局部麻醉后牙关紧闭
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Prolonged diplopia following a mandibular block injection.下颌阻滞注射后持续性复视。
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[Infracondylar abscess formation: a rare complication of local anesthesia].
Rev Stomatol Chir Maxillofac. 2006 Nov;107(5):366-9. doi: 10.1016/s0035-1768(06)77065-6.
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Quintessence Int. 2018;49(5):391-396. doi: 10.3290/j.qi.a40051.
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Aust Dent J. 1986 Oct;31(5):319-25. doi: 10.1111/j.1834-7819.1986.tb01218.x.
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[What is the cause of failure of local anesthesia?].[局部麻醉失败的原因是什么?]
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引用本文的文献

1
Local anaesthesia in dentistry: a review.牙科局部麻醉:综述
Int Dent J. 2020 Sep 17;71(2):87-95. doi: 10.1111/idj.12615.
2
Anesthetic efficacies of intrapapillary injection in comparison to inferior alveolar nerve block for mandibular premolar extraction: a randomized clinical trial.比较在下颌前磨牙拔除中应用于牙髓内注射与下齿槽神经阻滞的麻醉效果:一项随机临床试验。
Clin Oral Investig. 2020 Feb;24(2):619-629. doi: 10.1007/s00784-019-02954-5. Epub 2019 May 21.
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A Large Cheek Hematoma as a Complication of Local Anesthesia: Case Report.
一例因局部麻醉引发的巨大颊部血肿:病例报告
Acta Stomatol Croat. 2018 Jun;52(2):156-159. doi: 10.15644/asc52/2/9.
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The Gow-Gates technique for mandibular block anesthesia. A discussion and a mathematical analysis.下颌阻滞麻醉的Gow-Gates技术:讨论与数学分析
Anesth Prog. 1987 Jul-Aug;34(4):142-9.