新冠肺炎确诊患者颌面牙源性脓肿治疗1例并文献复习

A. Tajrin
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引用次数: 1

摘要

本病例报告和文献综述的目的是探讨新冠肺炎合并颌面牙源性脓肿的治疗管理。方法:一名65岁男性患者以右侧下颌骨血液肿胀延伸至颊下、颏下和颞部为主诉来到伊布西纳望加锡医院。患者呈无力状态,呼吸短促(呼吸困难),咳嗽开口困难,进食困难,吞咽困难,脉搏121次/分钟,呼吸32次/分钟,血氧饱和度94%(简单面罩5 lpm)。患者被诊断为右下颌下脓肿,延伸至右颊、右颞、右、左舌下及颏下,并因牙根坏疽而脓毒症46。在全身麻醉下进行手术切口及脓肿引流。结果:在怀疑患者有新冠肺炎暴露的情况下,仍按照预防新冠肺炎感染的原则对患者进行了脓肿切开引流。结论:在当前新冠肺炎大流行时期,手术准备、治疗管理和个人防护装备的正确使用将有助于在为患者提供最佳服务的同时保护医务人员。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Therapeutic management of odontogenic abscess in maxillofacial area in patient confirmed covid-19: A case report and literatur review
The purpose of writing this case report and literature review is to discuss the management of therapy in COVID-19 patients with odontogenic abscess in the maxillofacial area. Method: A 65-year-old male patient came to the Ibnu Sina Makassar Hospital complaining of swelling of the right submandibular blood extending to the buccal sublingual submental and temporal. Patient was in a limp condition shortness of breath (dyspnea) coughing difficulty opening his mouth, difficulty eating, and swallowing with pulse 121 times/minute breathing 32 times/minute and oxygen saturation of 94% (simple mask of 5 lpm). Patient was diagnosed with the right submandibular abscess extending to the right buccal right temporal right and left sublingual and submental with sepsis due to gangrene of tooth root 46. Surgical incision and drainage of the abscess was performed under general anesthesia. Results: Incision and drainage of the abscess in the patient was carried out even with the suspicion that the patient was indicated as having been exposed to COVID-19 by following the principle of preventing COVID-19 infection. Conclusion: Surgical preparation appropriate therapeutic management and proper use of PPE will help provide the best service to patients while protecting medical personnel in the current COVID-19 pandemic era.
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CiteScore
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