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拔牙后出血是常见的口腔颌面外科并发症。笔者收集在我科就诊的拔牙术后出血467例,总结如下。1 临床资料1.1 一般情况 男294例,女173例。年龄13～71岁。全部病例均为局麻下门诊诊疗室内拔牙。1.2 出血原因 分为局部因素和全身因素。其中局部因素448例,即牙龈撕裂290例(61.2％),牙槽骨骨折58例(12.4％),肉芽组织、碎牙残留60例(12.8％),血管损伤23 例(4.9％),感染12例(2.6％),其它24例(5.1％)。全身因素19例。1.3 出血量与牙位的关系 出血量判断标准:出血量<20ml为少量,20～60ml为中等量,>60ml为大量。467例中,少量出血376例(前牙44例,后牙322例),中等量出血83例(前牙29例,后牙54例),大量出血8例(前牙2例,后牙6例)。
Bleeding after tooth extraction is a common oral and maxillofacial surgical complications. The author collected 467 cases of bleeding after tooth extraction in our department, summarized as follows. 1 Clinical data 1.1 General Male 294 cases, 173 females. Age 13 ~ 71 years old. All cases were under local anesthesia out-patient clinics dental extraction. 1.2 causes of bleeding is divided into local factors and systemic factors. There were 448 cases of local factors, including 290 cases of gingival tear (61.2%), 58 cases of alveolar fractures (12.4%), granulation tissue, residual teeth broken in 60 cases (12.8%) and vascular injury in 23 cases (4.9% Infection was 12 (2.6%) and the other 24 (5.1%). 19 cases of systemic factors. 1.3 The relationship between bleeding and teeth bleeding judgment criteria: bleeding <20ml for a small amount of 20 ~ 60ml for the middle,> 60ml for a large number. In 467 cases, 376 cases of small bleeding (44 cases of anterior teeth and 322 cases of posterior teeth), 83 cases of moderate bleeding (29 cases of anterior teeth and 54 posterior teeth), 8 cases of massive bleeding (2 cases of anterior teeth and 6 posterior teeth) example).