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笑气清醒镇静期间乳牙误吸:硬质支气管镜下异物取出术

Primary tooth aspiration during conscious sedation with NO: foreign body removal with rigid bronchoscopy.

作者信息

Jo Yeeun, Rim Kyungmin, Kwon Dohyun, Ahn Jaemyung, Paeng Jun-Young

机构信息

Department of Oral & Maxillofacial Surgery, Samsung Medical Center, Seoul, Republic of Korea.

出版信息

J Dent Anesth Pain Med. 2024 Jun;24(3):205-211. doi: 10.17245/jdapm.2024.24.3.205. Epub 2024 May 27.

Abstract

A 7-year-old girl visited the Samsung Medical Center emergency room for primary tooth aspiration during primary tooth extraction under conscious sedation with NO. The patient showed no signs of respiratory complications. Chest radiography and CT revealed a tooth in the right bronchi. Foreign body removal using rigid bronchoscopy was performed on the day of aspiration. With close monitoring of the airway in the pediatric ICU, extubation was performed the next day, and the patient was discharged the same day. The primary objective of this case report was to highlight the potential risk of aspiration associated with the use of NO gas for conscious sedation.

摘要

一名7岁女孩在使用氧化亚氮进行清醒镇静下拔除乳牙时发生乳牙误吸,前往三星医疗中心急诊室就诊。患者未出现呼吸并发症迹象。胸部X线和CT显示右支气管内有一颗牙齿。误吸当天通过硬质支气管镜进行了异物取出。在儿科重症监护病房密切监测气道,次日进行了拔管,患者于同日出院。本病例报告的主要目的是强调使用氧化亚氮气体进行清醒镇静相关的误吸潜在风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c723/11148418/e4a1ee3d05eb/jdapm-24-205-g001.jpg

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