论文部分内容阅读
目的为减少拔牙术后出血的发生率,提高治疗效果。方法收集我院2010年2月～2012年3月拔牙后出血的32例患者进行回顾性分析。结果出血时间:术后2～6h出血25例,占78.1%,6～12h出血4例,占12.5%,12～24h出血2例,占6.3%,>24h出血1例,占3.1%。拔牙后出血原因:全身出血4例,占12.5%,其中血小板减少2例,月经期1例,高血压1例。局部出血27例,占84.4%,其中牙龈组织撕裂7例,感染5例,牙槽骨骨折2例,牙槽窝内出血8例,根尖周炎3例,缝线脱落2例,其他因素(饮食、洗漱)1例。结果全身因素、局部因素和其他因素是导致拔牙术后出血的主要原因,术前认真询问病情可以减少术后出血的发生。
The purpose is to reduce the incidence of bleeding after tooth extraction and improve the therapeutic effect. Methods A retrospective analysis was performed on 32 patients with bleeding after tooth extraction from February 2010 to March 2012 in our hospital. Results Bleeding time: 25 cases (78.1%) were hemorrhage 2 ~ 6h after surgery, 4 cases were bleeding 6 ~ 12 hours, accounting for 12.5%, 12 cases were bleeding in 12 ~ 24h, accounting for 6.3%. Bleeding after tooth extraction: 4 cases of systemic bleeding, accounting for 12.5%, of which 2 cases of thrombocytopenia, 1 case of menstrual period, 1 case of hypertension. Local bleeding in 27 cases, accounting for 84.4%, including gum tissue tear in 7 cases, infection in 5 cases, alveolar bone fracture in 2 cases, alveolar hemorrhage in 8 cases, apical periodontitis in 3 cases, suture off in 2 cases, other factors (Diet, wash) in 1 case. The results of systemic factors, local factors and other factors lead to bleeding after extraction the main reason for preoperative careful examination of the condition can reduce the incidence of postoperative bleeding.