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一名有遗传性血管性水肿病史的患者下颌骨骨折的导管局部镇痛治疗。

Catheter-based local analgesia for the fractured mandible in a patient with a history of hereditary angioedema.

作者信息

Hammond Douglas, Olaore Sunkami, Salker Mangesh, Gallaway Edward

机构信息

University of Central Lancashire, School of Medicine and Dentistry, Fylde Rd, Preston.

Department of Oral and Maxillofacial Surgery, Royal Stoke Hospital, Newcastle Road, Stoke on Trent, Staffordshire.

出版信息

J Surg Case Rep. 2019 May 9;2019(5):rjz126. doi: 10.1093/jscr/rjz126. eCollection 2019 May.

DOI:10.1093/jscr/rjz126
PMID:31086646
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6507769/
Abstract

Hereditary angioedema is a rare genetic condition causing episodes of angioedema-including life-threatening laryngeal oedema. Episodes can be unpredictable, or triggered by factors such as trauma, drugs or dental treatment. When faced with a patient with a fractured mandible, who has had a severe attack of angioedema when prescribed either ibuprofen or codeine based analgesia, this required an alternative approach to analgesia. Using a catheter and local anaesthesia, we were able to keep the patient comfortable, and pain free.

摘要

遗传性血管性水肿是一种罕见的遗传性疾病，可引发血管性水肿发作，包括危及生命的喉头水肿。发作可能不可预测，或由创伤、药物或牙科治疗等因素引发。当面对一名下颌骨骨折的患者时，该患者在服用布洛芬或含可待因的镇痛药时曾发生严重的血管性水肿发作，这就需要采用另一种镇痛方法。我们使用导管和局部麻醉，成功让患者感到舒适且无痛。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/238f/6507769/e1573301711f/rjz126f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/238f/6507769/6a5ad62adfc3/rjz126f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/238f/6507769/926f531126bb/rjz126f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/238f/6507769/e1573301711f/rjz126f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/238f/6507769/6a5ad62adfc3/rjz126f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/238f/6507769/926f531126bb/rjz126f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/238f/6507769/e1573301711f/rjz126f03.jpg

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本文引用的文献

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Clin Oral Investig. 2016 Nov;20(8):2241-2250. doi: 10.1007/s00784-016-1712-8. Epub 2016 Jan 21.
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Mortality of emergency general surgical patients and associations with hospital structures and processes.急危重症外科患者的死亡率及其与医院结构和流程的关系。
Br J Anaesth. 2016 Jan;116(1):54-62. doi: 10.1093/bja/aev372.
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Post operative pain relief through intermittent mandibular nerve block.
通过间歇性下颌神经阻滞实现术后疼痛缓解。
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Management of upper airway edema caused by hereditary angioedema.遗传性血管性水肿所致上呼吸道水肿的管理。
Allergy Asthma Clin Immunol. 2010 Jul 28;6(1):19. doi: 10.1186/1710-1492-6-19.
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Alcohol and medication interactions.酒精与药物相互作用。
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