牙科治疗中使用氧化亚氮/氧气镇静后发生的术后鼻出血。
Postoperative Epistaxis Following Dental Treatment With Nitrous Oxide/Oxygen Sedation.
机构信息
Honorary Clinical Lecturer, School of Dentistry, College of Medical and Dental Sciences, University of Birmingham, UK.
Senior Dental Surgeon, Midlands Partnership University NHS Foundation Trust, University of Portsmouth, UK.
出版信息
Anesth Prog. 2023 Jun 1;70(2):75-79. doi: 10.2344/anpr-70-01-04.
A 12-year-old Caucasian male undergoing a dental extraction for a grossly carious mandibular molar under inhalational sedation with nitrous oxide/oxygen experienced an episode of anterior epistaxis postoperatively that was controlled well with local measures. Epistaxis following inhalational sedation with nitrous oxide/oxygen in the dental setting is a very rare complication but has been previously reported in the literature. This case report provides a review of the existing literature regarding cases of epistaxis associated with inhalational sedation using nitrous oxide/oxygen and discusses the potential etiology of epistaxis associated with inhalational sedation. Patients at higher risk of epistaxis should be properly informed of the risks prior to inhalational sedation with nitrous oxide/oxygen, and dentists should also be familiar with epistaxis management in the dental setting.
一名 12 岁的白人男性，在吸入氧化亚氮/氧气镇静下接受下颌磨牙的根管治疗，术后出现了前鼻出血，经局部措施得到了很好的控制。在牙科环境下吸入氧化亚氮/氧气镇静后发生鼻出血是一种非常罕见的并发症，但在文献中已有报道。本病例报告回顾了与使用氧化亚氮/氧气吸入镇静相关的鼻出血病例的现有文献，并讨论了与吸入镇静相关的鼻出血的潜在病因。在接受氧化亚氮/氧气吸入镇静之前，应向有较高鼻出血风险的患者充分告知风险，牙医也应熟悉牙科环境下的鼻出血管理。
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