Nkansah P J
Department of Dental Anesthesia, Faculty of Dentistry, University of Toronto.
Univ Tor Dent J. 1995;9(1):13-6, 19.
Virtually all dental offices are asked to treat patients with underlying medical concerns. Because of their high prevalence in our society, we are obligated to have some familiarity with asthma, diabetes, and hypertension. Dental treatment can affect or be affected by these diseases. Our mandate as health care professionals to "do no harm" dictates that we must be prepared to properly assess all patients in determining how, and if, they may be treated safely. Good medical histories and physical examinations are the only ways to do this. When faced with a medically compromised patient, the following recommendations apply: Have a working knowledge of the disease. Prepare your facility for a crisis. Consider your reasonable prevention protocols and use them as appropriate. Avoid known triggers. Plan to lower stress.
几乎所有牙科诊所都会接待有潜在医疗问题的患者。鉴于这些疾病在我们社会中的高发病率，我们有必要对哮喘、糖尿病和高血压有所了解。牙科治疗可能会受到这些疾病的影响，也可能对其产生影响。作为医疗保健专业人员，我们的使命是“不造成伤害”，这就要求我们必须准备好在确定如何以及是否能够安全治疗所有患者时进行适当评估。良好的病史采集和体格检查是做到这一点的唯一方法。当面对有医疗问题的患者时，适用以下建议：了解该疾病的实用知识。为应对危机做好准备。考虑合理的预防方案并酌情使用。避免已知的触发因素。计划减轻压力。
