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拔牙后因原发性血小板增多疵导致口腔广泛性血肿,临床少见。现将我院收治1例报告如下: 患者缪××,男,75岁。住院号95410。因右下尖牙阵痛、松动,于1990年11月1日由个体牙医以普鲁卡因局部浸润麻醉下拔除。当时出血较多,用云南白药压迫血止。次晨,自觉头晕、口内血肿多处,张口困难,吞咽疼痛。遂于1990年11月5日入院,患者近5年有龈出血史,但家人无此病史。体检:急性病容,轻度贫血。右髂前、左足背部皮肤淤斑,右面颊部轻度肿胀,皮肤青紫。右口底,软腭、舌腭弓及颊粘膜大面积血肿,3 创口有血块沉积,触之易出血。张
Tooth extraction due to an increase in primary thrombocytopenia due to oral extensive hematoma, clinical rare. Now in our hospital admitted to a report as follows: Patient Miao × ×, male, 75 years old. Hospital number 95410. Due to the right lower right canine pain, loose, on November 1, 1990 by an individual dentist to procaine local anesthesia under anesthesia. At that time more bleeding, oppression with Yunnanbaiyao blood only. The next morning, consciously dizzy, many mouth swollen, mouth pain, swallowing pain. Then in November 5, 1990 admitted, the patient has gum bleeding in the past 5 years, but no family history. Physical examination: acute disease, mild anemia. Right anterior iliac, left foot back skin ecchymosis, mild swelling of the right cheek, skin bruising. Right mouth, soft palate, tongue and palatal mucosa bowel hematoma large area, 3 wound deposition of blood clots, easy to touch the bleeding. Zhang