140例牙龈自发性出血的诊断与应急治疗

The Diagnosis and Emergency Theraputics for 140 Gingival Auto-Bleeding Cases

目的探讨自发性牙龈出血的原因与应急治疗措施。方法选择140例口腔科临床门急诊牙龈自发性出血的病例,通过临床检查、实验室检查、询问病史等,找出病因,作出准确的诊断,并给以有效的局部填塞、抗炎治疗、止血药物应用等应急治疗措施。结果彻底止血135例,占96．43%,明显好转5例,占3．57%。1～3d拆除填塞棉球或缝线后再次出血2例,取得了满意的疗效。结论牙龈自发性出血多由于牙龈局部炎症等因素引起,局部填塞压迫结合全身应用止血药物是应急治疗的简便易行方案。

Objective To investigate the reason of the gingival auto-bleeding, and to find the emergency theraputics method to treat the patients who have the disease. Methods We selected 140 gingival autobleeding patients to analyse their bleeding reasons, and the main treatment was to press the gingiva papilla interdental with cotton rolls. Meanwhile, we also use antibiotic and coagulant to cure parts of the illness who needed. Results Results The clinical data showed gingivitis or paradentitis caused 84 cases gingival autobleeding, it was the main reason, and to press the gingiva papilla interdental with cotton rolls made the bleeding of 135 patients stoped. Conclusion The main reason of the gingival auto-bleeding was gingivitis or paradentitis, and the pressure mathod can play a very important role in the treatment.