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急性牙髓炎的最突出症状是难以忍受的剧痛,常使患者十分痛苦,坐卧不安,夜不能眠.所以,对急性牙髓炎的正确诊断和应急治疗是十分必要的.诊断要点一、分析临床症状,确定急性牙髓炎:根据患者主诉,仔细询问病史,若有以下六方面症状可诊断为本病。1.剧烈性疼痛:急性牙髓炎浆液期是锐痛,发展为化脓期时为跳痛.这两种疼痛都是难忍的剧痛.牙髓炎症状态时,其毛细血管扩张,渗透性增加,浆液和白细胞渗出,使牙髓组织水肿,以致化脓,使牙髓体积增大。但牙髓腔四壁坚硬,牙髓腔的容积不能随着牙髓体积的增大而扩大,势必导致髓腔内压力急剧增高,压迫牙髓神经,而引起剧烈疼痛.2.自发性疼痛:急性牙髓炎在无任何剌激的情况下,也发生剧烈的自发痛,这是由于牙髓腔内压力持续性增高所致.
The most prominent symptom of acute pulpitis is unbearable pain, often makes the patient very painful, restless, night can not sleep.Therefore, the correct diagnosis of acute pulpitis and emergency treatment is very necessary. , Analysis of clinical symptoms, acute pulpitis identified: According to the patient's complaint, carefully ask history, if the following six symptoms can be diagnosed as the disease. 1. Severe pain: Acute pulpitis is a sharp pain in the serous period, the development of purulent period for the jump pain .Two pain are unbearable pain .In pulp inflammation, the telangiectasia, permeability Increased, serous and leukocyte exudation, so that the pulp tissue edema, resulting in suppuration, so that the volume of the pulp increased. However, the four walls of the pulp cavity is hard, the volume of the pulp cavity can not be expanded with the volume of the pulp, which will inevitably lead to a sharp increase in intramedullary pressure, pressure on the pulp nerve, which caused severe pain.2 spontaneous pain: Acute pulpitis in the absence of any stimulus, but also the occurrence of severe spontaneous pain, which is due to the continuous increase of pressure within the pulp cavity caused.