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患者胡某,男,48岁,教师。因左下大牙疼痛,在县医院于局麻下拔除7。术后两天患者自觉拔牙处微痛不适,逐日加重,经肌注青霉素,对症处理,至第六日稍缓解。但第七天深夜患者自觉口内大出血而惊醒,到县医院经肌注安络血、局部纱球压迫止血无效;至凌晨赶到地区医院,总共约失血450毫升左右,此时患者面色苍白,心慌、大汗、皮肤湿冷、四肢无力、脉细数。检查口内见7拔牙创愈合不良,舌侧牙龈及牙槽骨部分缺损,牙槽窝较
Humou patient, male, 48 years old, teacher. Due to pain in the left lower maxillary, the county hospital in the local anesthesia unplugged 7. Two days after surgery, patients with sensory extraction of mild pain, aggravate daily, penicillin by intramuscular injection, symptomatic treatment, to a slight relief on the sixth day. But on the seventh night, the patient consciously ate hemorrhage in the mouth and awakened to the county hospital by intramuscular injection of blood, local gauze compression hemostasis invalid; to rush to the district hospital in the early morning, a total of about 450 ml of blood loss, when patients pale, palpitation , Sweating, skin wet, weakness, pulse breakdown. Check the mouth see 7 Tooth extraction healed poorly, the lingual gingiva and alveolar bone defect, alveolar nest than