拔牙後因傷口出血急診就診之原因分析與處置

Analysis of the Cause and Management of the Patient Having Wound Bleeding After Tooth Extraction in the Emergency Department

康家郡(Chia-Chun Kang) ； 顏欽堉(Ching-Yu Yen) ； 張敏德(Min-Te Chang) ； 官文雄(Wen-Hsiung Guan) ； 廖國安(Kuo-An Liao)

《臺灣口腔顎面外科學會雜誌》 24卷1期 (2013/03) Pp. 1-8

摘要

拔牙是牙科門診常見處置之一，然而拔牙後造成傷口出血往往會增加病人的恐慌與減低對醫師之信任，術前的詳細評估、手術創傷的減少、及術後適當的衛教皆可有效減少此類急診求診的病人。本研究以奇美醫學中心急診部牙科病人為研究對象，統計自2006年11月到2010年12月間，共163名因接受拔牙處置（含阻生齒手術）後造成傷口出血而至急診求診的病人，回溯性分析患者之基本資料與治療情形，進而探討造成拔牙後傷口出血之危險因子與治療方式。

關鍵字

拔牙後出血 ； 急診

並列摘要

Tooth extraction is a common procedure in dental clinic. However, wound bleeding after tooth extraction always makes patients feel more panic and patients would have less confidence in doctors. Effective ways to decrease the above emergency cases are careful preoperative evaluation, less perioperative trauma, and proper postoperative education. The samples of this study are the dental patients of emergency department of Chi-Mei Medical Center. We collected 163 patients who experienced wound bleeding after tooth extraction (including impacted tooth surgery) and went to emergency department for help during November, 2006 to December, 2010. We took retrospective analysis of the patients' general data and treatment course, and discussed the risk factors and management of wound bleeding after tooth extraction.

並列關鍵字

postextraction bleeding ； emergency department