다발성 전신질환자에서 국소마취하에 근관치료 중 유발된 실신과 혼수 치험 1예
Syncope & Coma during Endodontic Treatment under Local Anesthesia in Multiple Medically Compromised Patient
유재하, 최병호, 이천의, 김종배,
소속 상세정보
유재하 ( Yoo Jae-Ha ) - 연세대학교 치과대학 원주기독병원 구강악안면외과
최병호 ( Choi Byung-Ho ) - 연세대학교 치과대학 원주기독병원 구강악안면외과
이천의 ( Lee Chun-Ui ) - 연세대학교 치과대학 원주기독병원 구강악안면외과
김종배 ( Kim Jong-Bae ) - 계명대학교 의과대학 동산의료원 치과학교실
KMID : 0980220110110020164
Abstract
Altered consciousness may be the first clinical sign of a serious medical problem that requires immediate and intensive therapy to maintain life. There are many causes of the loss of consciousness in the dental office setting, such as, vasodepressor syncope, drug administration or ingestion, orthostatic hypotension, epilepsy, hypoglycemic reaction, acute adrenal insufficiency, cerebrovascular accident, hyperglycemic reaction, acute myocardial infarction, acute allergic reaction and hyperventilation. This is a case report of syncope and coma during endodontic treatment of a maxillary third molar under local infiltration anesthesia in multiple medically compromised patient. The main cause was thought to be hypoglycemic reaction. The patient was transferred to the medical emergency room and cared properly by the emergency medical physicians. The prognosis was good.
키워드
Syncope; Coma; Hypoglycemic reaction; Multiple medically compromised patient
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