下顎骨骨折の観血的整復固定術中に冠スパズムを認めた高齢痴呆患者の1例 A case of coronary arterial spasm occurring during open reduction of a mandibular fracture in an elderly patient with dementia
Improved treatment of elderly inpatients requires evaluation of their systemic status. We performed open reduction of a mandibular fracture under general anesthesia in a patient who had various underlying diseases, such as hypertension, emphysema, cerebral infarction, diabetes mellitus, and dementia.<BR>The patient had presented with dementia before hospitalization. To ensure safety, we paid attention to falling, which had caused the mandibular fracture. However, coronary arterial spasm unexpectedly occurred during operation under general anesthesia. After the planned operation, we prevented the onset of spastic angina, and the patient was discharged without any complications. It is essential to carefully confirm systemic status, including emerging symptoms and disease, to ensure safe perioperative management in elderly patients with many underlying diseases such as hypertension, cerebral infarction, and dementia.
日本口腔外科学会雑誌 50(3), 185-188, 2004-03-20
Japanese Society of Oral and Maxillofacial Surgeons