폐렴을 동반한 턱관절 탈구환자에서 인상채득 중 유발된
급성 호흡장애
- Author(s)
- 손정석; 오지현; 유재하; 김종배
- Keimyung Author(s)
- Kim, Jong Bae
- Department
- Dept. of Dentistry (치과학)
- Journal Title
- 대한치과마취과학회지
- Issued Date
- 2014
- Volume
- 14
- Issue
- 2
- Keyword
- Pneumonia; Respiratory distress; Alginate impression; TMJ dislocation; Stress reduction protocol
- Abstract
- Difficulty in breathing can be very disconcerting to a patient who is conscious yet unable to breath normally. The common
causes of acute respiratory distress include hyperventilation, vasodepressor syncope, asthma, heart failure, and hypoglycemia.
In most of these situations, the patient does not exhibit respiratory distress unless an underlying medical disorder becomes
acutely exacerbated. Examples of this include acute myocardial infarction, anaphylaxis, cerebrovascular accident, hyperglycemia,
and hypoglycemia. A major factor that leads to the exacerbation of respiratory disorders is undue stress, either physiologic
or psychologic. Psychologic stress in dentistry is the primary factor in the exacerbation of preexisting medical problems. Therefore,
the most dental patient should be cared gently as the stress reduction protocol. This is a case report of acute respiratory
distress with vasodepressor syncope during alginate impression taking of mandibular teeth in a long-standing temporomandibular
joint dislocated 93-years-old pneumonic patient.
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