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題名 | 橡皮障過敏反應--病例報告=Allergic Reaction to Rubber Dam--Case Report |
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作 者 | 許旭岑; 張家豪; | 書刊名 | 中華牙醫學雜誌 |
卷期 | 17:2 1998.06[民87.06] |
頁次 | 頁114-119 |
分類號 | 416.9 |
關鍵詞 | 橡皮障; 過敏反應; 橡膠; Rubber dam; Allergic reaction; Later; |
語文 | 中文(Chinese) |
中文摘要 | 橡皮障過敏過去是較為罕見的病例,但在感染控制日益受到重視的今天,牙科治 療中對橡皮障等橡膠類製品的使用日趨廣泛與頻繁,可能使得對橡皮障過敏的比例昇高。過 敏反應分為兩種形態;延遲型過敏反應與立即型過敏反應,嚴重者甚至引發超過敏反應 (anaphylaxis)而有致命的危險。本篇報告是一位10歲女性患者,於兒童牙科門診治療中 因為有齲齒,故使用橡皮障隔離來填補齲齒,治療結束後,發現患者口唇四周出現紅腫、發 癢等過敏現象,初步診斷為橡皮障引起過敏反應,且屬於立即型過敏反應,立刻給予抗組織 胺類的藥品肌肉注射後症狀始得緩解,之後給予口服抗組織胺,並密切觀察48小時。於下次 約診治療過程中均改採用乙烯障及乙烯手套作為替代品,患者皮膚過敏的現象便未再出現。 藉由本篇病例報告,希望所有牙醫師應對橡皮障過敏的型態有所了解;尤其是超過敏反應, 並在其發生時有能力去處理;同時應對所有牙科患者詳細詢問其過敏史,必要時改採用替代 品以避免不良反應的發生。 |
英文摘要 | Allergy to a rubber dam is uncommon, but the increasing use of rubber dams by dental personnel is likely to make hypersensitivity reactions to rubber more common. There are two types of allergic reactions to rubber dams: delayed or immediate hypersensitivity reactions, and the even more severe and life-threatening reaction, anaphylaxis. This case report describes a 10-year-old female patient who experienced erythema and swelling of the skin over her cheek following contact with a rubber dam which had been used to isolate her right maxillary teeth for restoration. She was immediately treated with antihistamine, and kept under close observation for 48 hours. At her next appointment, a vinyl dam and vinyl gloves were selected as alternatives, and the patient experienced no further dermatological complications. If is important that all dentists be aware of the potential for latex allergy, especially anaphylaxis, and that they bear in mind its approprate treatment. All patients should be asked about the possibility of latex allergy to prevent the occurrence of adverse reactions. |
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