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[插管过程中的牙齿损伤——诊断与治疗方面]

[Tooth injury during intubation--diagnostic and therapeutic aspects].

作者信息

Deppe H, Reeker W, Horch H H, Kochs E

机构信息

Klinik und Poliklinik für Mund-Kiefer-Gesichtschirurgie.

出版信息

Anasthesiol Intensivmed Notfallmed Schmerzther. 1998 Nov;33(11):722-5. doi: 10.1055/s-2007-994843.

Abstract

This study analysis 16 cases of dental injuries occurring during endotracheal intubation. The overall rate was 1 out of 6000 cases of intubation. As expected, the upper jaw teeth are most often involved. Partial dislocations were the most common lesion, together with dental fractures. A well-documented dental evaluation before delivery of anesthetics and appropriate precautions and protective devices during intubation will prevent most dental trauma related to endotracheal intubation. Also, early use of dental and risk management services often will ensure timely resolution of such problems.

摘要

本研究分析了16例在气管插管过程中发生的牙齿损伤病例。总体发生率为每6000例插管中有1例。正如预期的那样,上颌牙齿最常受累。部分脱位是最常见的损伤类型,同时伴有牙齿骨折。在麻醉给药前进行详细记录的牙齿评估,并在插管过程中采取适当的预防措施和使用保护装置,将预防大多数与气管插管相关的牙齿创伤。此外,尽早利用牙科和风险管理服务通常将确保及时解决此类问题。

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