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高速气钻牙科治疗术后的医源性皮下气肿和纵隔气肿

Iatrogenic subcutaneous emphysema and pneumomediastinum following a high-speed air drill dental treatment procedure.

作者信息

Nishimura Takeshi, Sawai Tatsuo, Kadoi Kanenori, Yamada Taihei, Yoshie Norichika, Ueda Takahiro, Nakao Atsunori, Kotani Joji

机构信息

Department of Emergency, Disaster and Critical Care Medicine Hyogo College of Medicine Nishinomiya Japan.

出版信息

Acute Med Surg. 2015 Mar 5;2(4):253-256. doi: 10.1002/ams2.109. eCollection 2015 Oct.

Abstract

CASE

A patient was transported to our hospital with swelling in his right face and neck after restorative dental treatment. Subcutaneous emphysema and pneumomediastinum were discovered using computed tomography scans.

OUTCOME

The patient had no severe symptoms. We prescribed prophylactic antibiotics and he recovered uneventfully.

CONCLUSIONS

Clinicians must keep this pathology in mind because prompt diagnosis and treatment contribute to early improvement. Otherwise, patients may face life-threatening complications.

摘要

病例

一名患者在接受牙齿修复治疗后,右侧面部和颈部出现肿胀,随后被送往我院。通过计算机断层扫描发现皮下气肿和纵隔气肿。

结果

患者无严重症状。我们开了预防性抗生素,他顺利康复。

结论

临床医生必须牢记这种病症,因为及时诊断和治疗有助于早期康复。否则,患者可能面临危及生命的并发症。

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