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頁籤選單縮合
題 名 | 牙齒斷片掉入氣管之病例報告=Aspiration of Tooth Fragment into Bronchi after Trauma--A Case Report |
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作 者 | 方致元; 張燕清; | 書刊名 | 中華民國口腔顎面外科學會雜誌 |
卷 期 | 15:2 2004.09[民93.09] |
頁 次 | 頁119-126 |
分類號 | 416.95 |
關鍵詞 | 顏面外傷; 吸入; 異物; 肺; Facial trauma; Aspiration; Foreign body; Lung; |
語 文 | 中文(Chinese) |
中文摘要 | 頭頸部外傷經常伴隨發生牙齒移位、斷裂、鬆脫或是脫落的情形,但是因此吸入呼吸道中的機會卻很低,若不幸有牙齒斷片吸入呼吸道中,則是十分危險。未被移除的異物會阻塞氣管或支氣管,造成被阻塞處蓄膿,呼吸道黏膜潰瘍,最終導至肺葉塌陷或是吸入性肺炎。本病例患者係車禍後造成右大腿骨及顏面區域多處骨折,於某醫院接受全身麻醉及右大腿骨開放性骨復位手術後,因顏面骨折,轉診至本院口腔顎面外科,診斷為下顎骨正中聯合及左側髁突下骨折。術前在患者胸部X光檢查中發現有一上顎右側正中門齒斷片於左側下肺葉支氣管閉口中,故先會診胸腔外科取出,頭頸部外傷及骨折則由本科進行治療,患者術後恢復良好,咳嗽症狀立即緩解。處理急診時,醫師應於接觸患者之第一時間仔細檢查患者,評估所有脫出、鬆動、斷裂的牙齒或假牙,避免物體掉入氣管之中,若有發生應盡快取出。回顧文獻發現此類病症十分少見,且易被忽略,特提出報告。 |
英文摘要 | After the maxillofacial trauma, both hard and soft tissue of oral cavity may become loosening and have the potential risk to be aspirated. Although the risk of the aspiration of the tooth fragment into respiration tract is relative low, this kind of condition may be serious. The unfound or un-removed foreign bodies may obstruct the airway or even deep into bronchi. The mucosa around the obstruction site may be damaged and abscess may accumulate. Lung collapse, emphyema, abscess formation, pneumonia and death may become the progress result if the foreign body was not removed. This is a case report about a patient who suffered from the motorcycle accident. Ten days after she received an operation of her right femur bone under general anesthesia, she was transferred to our hospital due to facial bone fractures. A broken tooth was noted during the routine chest film examination. The tooth fragment was then removed by soft bronchoscope under general anesthesia and the facial bone fractures were treated at the same time. The symptom of cough relieved immediately after the operation. All physicians should aware of this kind of uncommom situation to prevent further complications. |
本系統中英文摘要資訊取自各篇刊載內容。