全身麻醉下牙科手术后的心因性昏迷。

Psychogenic coma after dental surgery under general anaesthesia.

作者信息

Yong C W, Ng W H, Yap S H, D'Souza J, Ow A T-C

机构信息

Discipline of Oral and Maxillofacial Surgery, Ng Teng Fong General Hospital (National University Health System), Singapore.

Department of Anaesthesia, Ng Teng Fong General Hospital (National University Health System), Singapore.

出版信息

Int J Oral Maxillofac Surg. 2018 Dec;47(12):1613-1615. doi: 10.1016/j.ijom.2018.06.012. Epub 2018 Jul 17.

DOI:10.1016/j.ijom.2018.06.012

PMID:30017570

Abstract

Delayed awakening after general anaesthesia due to psychogenic coma is a phenomenon that rarely presents to the oral and maxillofacial surgeon. A case of psychogenic coma following general anaesthesia for dental extractions is presented here. It is recommended that patients at risk of conversion disorder should be counselled about the risks of psychogenic coma. Early diagnosis of this condition could lead to better patient management.

摘要

因心因性昏迷导致的全身麻醉后延迟苏醒是一种很少出现在口腔颌面外科医生面前的现象。本文介绍了一例拔牙全身麻醉后的心因性昏迷病例。建议对有转换障碍风险的患者进行心因性昏迷风险的咨询。这种情况的早期诊断有助于更好地管理患者。