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患者金×,男,31岁。主诉:左上牙痛1年。既往患有风湿病11年。近半年来,每日口服阿斯匹林1g。检查:5无龋坏,I°松动,叩痛(++,颊侧牙龈可见一龈瘘。6残根。处理经过:先抗风湿治疗3天,每日肌注青霉素2次,每次80万iu。查抗“0”试验200单位以下,血沉16mm。然后行拔牙术,手术顺利。术后按常规止血处理,并给予红霉素口服。术后1小时,病人吐掉止血棉球,拔牙处渗血明显.换用止血粉(血余炭)加棉球压迫,1小时后仍有渗血,血凝块形成不好。在去掉血凝块后,用明胶海绵加云南白药填入牙窝,于4小
Patient ×, male, 31 years old. Chief complaint: upper left toothache for 1 year. Previously suffering from rheumatism for 11 years. Nearly six months, daily oral aspirin 1g. Check: 5 caries-free, I ° loosening, percussion pain (++, gingival visible gingival fistula .6 stump treatment: anti-rheumatic treatment for 3 days, daily muscle penicillin 2 times, each 80 Check anti “0” test less than 200 units, erythrocyte sedimentation rate 16mm. And then extraction surgery, the operation goes well .According to conventional hemostasis, and given erythromycin orally .One hour after the patient spit out hemostatic cotton ball, Extravasation of bleeding at the tooth extraction .Can use hemostatic powder (blood carbon) plus cotton balls oppression, 1 hour after the still bleeding, blood clot formation is not good.After removing the blood clot, with gelatin sponge plus Yunnanbaiyao filling Dental pit, at 4 small