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目的调查分析急性牙髓炎的临床症状和体征,以提高诊断准确率。方法采用调查表的形式,记录患者的临床症状和体征,然后整理并分析。结果多数急性牙髓炎疼痛表现为阵发痛、夜间痛、温度刺激痛;少数病例疼痛表现呈多样化,疼痛放散区域可以提示重点临床检查范围;龋病是主要感染来源,隐裂和牙周病是重要感染来源;大多数急性牙髓炎患牙叩诊及温度测试呈阳性反应。结论临床医师应根据患者所指牙位重点检查,不同放散区域和叩诊阳性表现可以提示重点检查范围,牙髓温度测试是必须检查的步骤之一,医师需要对临床症状和体征综合判断。
Objective To investigate the clinical symptoms and signs of acute pulpitis to improve the diagnostic accuracy. Methods The form of the questionnaire was used to record the clinical symptoms and signs of the patients and then collated and analyzed. Results The pain of most acute pulpitis manifested as paroxysmal pain, nocturnal pain and temperature stimulating pain. In a few cases, the pain performance was diversified. The pain-relieving area could indicate the focus of clinical examination. Caries was the main source of infection, Sickness is a major source of infection; most acute pulpitis is positive for dental percussion and temperature testing. Conclusion Clinicians should focus on the patient’s pointed tooth position, and different areas of radiology and percussion positive findings can prompt the focus of examination, pulp temperature test is one of the steps must be checked, the doctor needs comprehensive judgment of clinical symptoms and signs.