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目的对拔牙术后出血进行系统研究,使拔牙术后出血发生率降低,并提高治愈率。方法选取我院2010年10月到2012年10月期间拔牙术后出血的41例患者进行系统研究,做回顾性分析。结果出血时间:术后1-5h出血30例,占73.2%,5-10h出血6例,占14.6%,10-20h出血3例,占7.3%,20h以后出血2例,占4.9%;出血原因分别是全身因素6例,占14.6%,其中凝血障碍3例,月经期1例,血压不稳者2例。局部因素33例,占80.5%,其中牙龈组织撕裂11例,感染4例,牙槽骨折4例,牙槽窝内出血9例,根尖周炎3例,缝线脱落2例,其它因素2例。结论全身因素、局部因素和其他因素是导致拔牙术后出血的主要原因。
Objective To study the systematic study of bleeding after tooth extraction, to reduce the incidence of bleeding after extraction and to improve the cure rate. Methods A total of 41 patients with bleeding after tooth extraction from October 2010 to October 2012 in our hospital were studied retrospectively. Results bleeding time: 1 to 5h postoperative bleeding in 30 cases, accounting for 73.2%, 5 to 10h bleeding in 6 cases, accounting for 14.6%, 10-20h bleeding in 3 cases, accounting for 7.3%, 20h after bleeding in 2 cases, accounting for 4.9%; bleeding The reasons are systemic factors in 6 cases, accounting for 14.6%, of which 3 cases of coagulation disorders, menstrual period in 1 case, 2 cases of unstable blood pressure. Local factors in 33 cases, accounting for 80.5%, including gingival tissue laceration in 11 cases, infection in 4 cases, 4 cases of alveolar fracture, alveolar hemorrhage in 9 cases, apical periodontitis in 3 cases, suture off in 2 cases, other factors 2 example. Conclusion The systemic, local and other factors are the main causes of bleeding after tooth extraction.