综合性医院口腔科夜间急诊病例8951例回顾分析

目的通过回顾性分析综合性医院口腔科夜间急诊病例,探讨综合性医院口腔科夜间急诊病例构成特点等。方法对2011年1月至2011年12月上海市中医药大学附属普陀医院口腔科收治的8951例口腔急诊病例进行回顾分析。结果我院口腔科夜间急诊病例分类构成以颌面部外伤最多见,占急诊病例的25.36%,其他依次为急性根尖周炎,冠周炎,急性牙髓炎、牙周炎,拔牙后出血等。颌面部外伤中又以面部皮肤黏膜软组织损伤常见。结论口腔急诊病种范围广,急诊医师除需掌握口腔急诊病种的鉴别诊断外,还需重点掌握颌面部外伤、根尖周炎、牙髓炎等病种的应急处理方法。

Statistical Analysis of 8951 Night-time Dental Emergency Cases in General Hospital

Objective To investigate the characteristics of night-time dental emergency diseases in a general hospital by statistical analysis of cases of night- time dental emergency diseases in a general hospital. Methods 8951 cases of night-time dental emergency patients from the dental department of Shanghai university of traditional chinese medicine affiliated Putuo hospital were analyzed. Results Most of the night-time dental emergency diseases were oral and maxillofacial injury, which is 25.36% of emergency cases. The others were acute apicial periodontitis and Pericoronitis, acute pulpitis, periodontitis, postextraetion hemorrhage. Facial skin and mucous membranes soft tissue injury is the most common in oral and maxillofaeial injury. Conclusion Most of the routine oral diseases could be observed in dental emergency. Emergency dentist must master differential diagnosis of dental emergency diseases and the emergent treatments of oral and maxillofacial injury, apical periodontitis and pulpitis.