| 心电监护拔牙安全性的探讨 |
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| 引用本文： | 吴云龙,廖学娟,张永明,等. 心电监护拔牙安全性的探讨[J]. 华西医学, 2014, 0(4): 728-731 |
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| 作者姓名： | 吴云龙 廖学娟 张永明 等 |
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| 作者单位： | 四川大学华西口腔医院颌面外科,成都610041 |
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| 摘 要： | 目的探讨心血管疾病患者或其他全身健康状况不佳患者门诊心电监护下拔牙的安全性。方法总结2010年5月-2011年5月顺利完成的监护拔牙患者933例，分析其在拔牙过程中血流动力学的变化，评价该类患者拔牙手术的安全性。结果所有患者均顺利完成拔牙手术，局部麻醉后、拔牙过程中患者的心率和血压都有所增加，但无意外事件发生。结论对合并有心血管疾病或其他全身健康状况不佳的患者来说，在严格掌握适应证的前提下，实施心电监护下拔牙具有很高的安全性。
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| 关 键 词： | 心血管疾患 拔牙 心电监护 安全性 |
Clinical Study of Dental Extraction with Electrocardiogram Monitoring |
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| WU Yun-long,LIAO Xue-juan,ZHANG Yong-ming,HUA Cheng-ge,PAN Jian. Clinical Study of Dental Extraction with Electrocardiogram Monitoring[J]. West China Medical Journal, 2014, 0(4): 728-731 |
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| Authors: | WU Yun-long LIAO Xue-juan ZHANG Yong-ming HUA Cheng-ge PAN Jian |
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| Affiliation: | .(Department of Oral Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan 610041, P. R. China) |
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| Abstract: | Objective To discuss the safety of dental extraction with electrocardiogram （ECG） monitoring for cardiovascular patients. Methods We summarized and analyzed the clinical data of 933 cases of dental extraction with ECG monitoring from May 2010 to May 2011. Analysis of the change of heart rate and blood pressure in the process of dental extraction was also carded out. Results All patients underwent the tooth extraction successfully. The heart rate and blood pressure increased after local anesthesia and in the process of tooth extraction without any accident. Conclusion Under the premise of strict control of indications, dental extraction with the implementation of ECG monitoring has a very high security for patients with cardiovascular diseases or other systemic disorders. |
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| Keywords: | Cardiovascular patients Dental extraction Electrocardiogram monitoring Safety |
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