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目的探究处理口腔外科门诊拔牙中的严重并发症的措施。方法选取2015年4月~2016年4月本院口腔外科拔牙并出现严重并发症的52例患者,对患者的不同并发症做针对性处理。结果对误入舌侧间隙的患者进行切开颌下手术取出下颌阻生牙;开窗吸出误入上颌窦腔患者的通尖牙窝骨面;术后出血患者使用止血与抗休克治疗;对于牙齿根尖进入槽神经管患者停止手术操作并进行1个月随访,未出现不适;注射器针头断裂患者需用针灸辅以X线取出;下领骨骨折患者可以通过固定于复位等措施进行治疗,感染的患者则以冲洗创面和抗感染等方式进行治疗。结论口腔外科门诊临床的拔牙中严重并发症的发生概率比较高,需要进一步强化医护人员的关注意识与管理意识,从而有效降低并发症的发生率。
Objective To explore the measures to deal with the serious complications of dental extraction in oral surgery. Methods From April 2015 to April 2016, 52 patients with oral cavity extraction and serious complications in our hospital were selected for targeted treatment of different complications. Results The patient who got into the lingual space was incised and the mandibular incision was performed to remove the mandibular impacted teeth. The fenestration of the maxillary sinus cavity was aspirated by the fenestration. The hemorrhage patients were treated with hemostasis and anti-shock treatment. Tooth root into the groove of neural tube patients to stop the operation and 1 month follow-up, no discomfort; Needle acupuncture needle fracture patients need to be supplemented by X-ray; patients with fractures of the lower neck can be fixed by reduction and other measures for treatment, Infected patients are to flush the wound and anti-infection treatment. Conclusion The incidence of serious complications in oral surgery clinics is relatively high, which needs to further strengthen the consciousness and management awareness of medical staffs, thus effectively reducing the incidence of complications.