80例拔牙后出血原因分析及治疗体会

80 cases analysis of the reasons of Bleeding after tooth extraction and Treatment experiences

目的:探讨拔牙后出血常见原因有效处理方法。方法:对80例拔牙后出血患者原因及处理方法进行总结。结果:牙槽窝内残留炎性肉芽组织、血块保护不良及软组织撕裂是拔牙后出血的主要原因。缝合和填塞是有效处理方法。结论:术前严格掌握拔牙适应证和禁忌证,术中减少创伤,对疑有根尖肉芽组织,拔牙窝一定要搔刮彻底;有软组织损伤应当常规缝合;拔牙术后宣教等可基本避免拔牙后出血。

Objective： To summarize the common causes of bleeding after tooth extraction and effective treatment methods. Methods： The cause of bleeding after 80 cases of extraction and processing methods are summarized. Results： The remaining of inflammatory granulation tissues within the alveolar socket, poor protection of blood clots and the tearing of soft tissues are the main reasons of bleeding after tooth extraction. Stitching and packing are effective treatment methods. Conclusion： Master indication and contraindication of tooth extraction, reduce the trauma in the surgery, thoroughly scrap the suspected apical granulation tissue within the alveolar socket, routine suture soft tissue injuries, education after tooth extraction, etc. can basically prevent bleeding after tooth extraction.