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心脏人工瓣膜替换术(以下简称心脏换瓣术)后患者需长期使用抗凝药物,国内多用华法令,由此带来了口腔疾病,如牙龈自发出血,洁牙引起牙龈被动出血。残根、残冠在原有牙髓坏死、慢性根尖炎基础上作为口腔病灶牙可引起急性根尖炎、颌面部蜂窝织炎、甚至细菌性心内膜炎,故病灶牙在保守治疗无效的情况下要拔除,采取措施防止术区出血、感染及细菌性心内膜炎。本文提出了防治方法。
Cardiac prosthetic valve replacement (hereinafter referred to as heart valve replacement) patients need long-term use of anticoagulants, the domestic use of warfarin, which brought about oral diseases, such as spontaneous bleeding gums, teeth cleaning caused by passive bleeding gums. Residual roots, residual crown in the original pulp necrosis, chronic root tip inflammation as the basis of oral lesions can cause acute root tipitis, maxillofacial cellulitis, and even bacterial endocarditis, so the lesion in the conservative treatment is invalid Of the cases to be removed, take measures to prevent bleeding, infection and bacterial endocarditis. This article presents a prevention and cure method.