Mordenfeld A, Andersson L, Bergström B
Department of Oral and Maxillofacial Surgery, Central Hospital, Vasteras, Sweden.
Int J Oral Maxillofac Implants. 1997 Jul-Aug;12(4):558-61.
This report describes a life-threatening hemorrhage in the floor of a patient's mouth during routine implant placement in the anterior mandible. Airway obstruction caused by hematoma development resulted in acute nasotracheal intubation and subsequent surgical intervention. Surgical, radiographic, and anatomic considerations to prevent severe bleeding are discussed. An extraoral submental approach in cases with large sublingual hematomas is recommended. An outpatient should be treated in or close to a hospital where these complications can be dealt with promptly and effectively.
本报告描述了一名患者在前下颌常规植入种植体时发生的危及生命的口腔底部出血。血肿形成导致气道阻塞，进而进行了急性鼻气管插管及后续手术干预。文中讨论了预防严重出血的手术、影像学及解剖学方面的注意事项。对于舌下血肿较大的病例，建议采用口外颏下进路。门诊患者应在医院内或医院附近接受治疗，以便能迅速有效地处理这些并发症。
