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下颌骨切除是口腔领面外科常见手术之一,对其术后骨缺损的修复有多种方法。我科1986年6月应用煮沸植骨的方法,成功地为一例右下颌骨中央性血管瘤并严重肝硬化腹水及严重贫血患者施行了手术,特报告如下。病情简介:孙某某,男,35岁,农民。患者近二年来右下牙龈反复喷射性出血约十余次,每次均自行压迫及静卧后血止。十余天前右下牙龈又发生喷射性出血,引起出血性休克,急送当地县医院抢救。经输血及对症治疗后转入我院。经拍片检查诊断为右下颌骨中央性血管瘤收住院。入院后查体发现患者腹部膨隆,有移动性浊音。B型超声检查:肝硬化脾大并大量腹水。化验室检查:Hb5克,HBsAg阳性,血浆白蛋白3克,球蛋白3克。
Mandible resection is one of the most common surgeries in oral surgery. There are many ways to repair bone defects after surgery. Our department in June 1986 using the method of boiling bone, successfully for a case of central mandibular hemangioma and severe cirrhosis of the ascites and severe anemia in patients underwent surgery, special report is as follows. Synonyms: Sun Moumou, male, 35 years old, farmer. Patient in the past two years, the right lower gum repeatedly bleeding about a dozen times, each time their own oppression and after lying on the blood only. Ten days ago lower right gums also occurred in the ejection of bleeding, causing hemorrhagic shock, emergency hospital delivery to the county. After transfusion and symptomatic treatment into our hospital. The film was diagnosed as right central mandibular hemangiomas hospital. After admission, found that patients with abdominal distension, mobile dullness. B-mode ultrasound: splenomegaly and a large number of ascites. Laboratory tests: Hb5 grams, HBsAg-positive, 3 grams of plasma albumin, globulin 3 grams.