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다발성 전신질환자에서 국소마취하에 근관치료 중 유발된 실신과 혼수 치험 1예

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Author(s)
유재하최병호이천의김종배
Keimyung Author(s)
Kim, Jong Bae
Department
Dept. of Dentistry (치과학)
Journal Title
대한치과마취과학회지
Issued Date
2011
Volume
11
Issue
2
Keyword
SyncopeComaHypoglycemic reactionMultiple medically compromised patient
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.
Alternative Title
Syncope & Coma during Endodontic Treatment under Local Anesthesia in Multiple
Medically Compromised Patient
Keimyung Author(s)(Kor)
김종배
Publisher
School of Medicine
Citation
유재하 et al. (2011). 다발성 전신질환자에서 국소마취하에 근관치료 중 유발된
실신과 혼수 치험 1예. 대한치과마취과학회지, 11(2), 164–171. doi: 10.17245/jkdsa.2011.11.2.164
Type
Article
ISSN
1598-4044
DOI
10.17245/jkdsa.2011.11.2.164
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39710
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Dentistry (치과학)
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