1932例拔牙后出血临床分析

Clinical analysis of 1 932 cases of postextraction hemorrhage

目的 探讨拔牙后出血的原因及急诊处理的方法。方法 回顾性分析 1932例拔牙后出血急诊患者的出血原因及处理方法。结果 本组病例病因主要有软组织撕裂 35 0例 (18 1% ) ,高血压 34 0例 (17 6 % ) ,牙槽窝内残留炎性肉芽组织及残留牙根 2 70例 (14% ) ,其它 972例。经口腔科急诊处理治愈 1810例 (93 7% ) ,12 2例转入内科及血液科 ,其中 12 0例痊愈 ,2例死亡。结论 拔牙后出血为口腔科常见的并发症 ,对其应以预防为主 ,急诊处理时应兼顾局部与全身 ,必要时会同内科医生进一步检查 ,明确病因 ,进行治疗。

Objective To investigate the pathogenesis of postextraction hemorrhage and the methods of the emergency treatment.Method 1 932 emergency cases of postextraction hemmorrhage were studied retrospectively.Result 1 932 emergency cases(93.7%) of postextraction hemorrhage were cured of with emergency treatment in the department of stomatology.122 cases were changed over to the department of internal medicine or hemopathioc As a result,120 cases recovered and 2 cases died.Conclusion postextraction hemorrhage was the most common complication and emergency in the department of stomatology,and it should be prevented first.Both local and general conditions should be taken account of when the emergency treatment was given,and further examinations should be done to determine the pathogenesis if necessary.