抗血小板療法中に下顎亀裂骨折に継発した血腫によって気道閉塞を発症した1例 A case of airway obstruction caused by hematoma following a mandibular fissured fracture in a patient receiving antiplatelet therapy

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著者

    • 枝広 あや子 EDAHIRO Ayako
    • 東京都老人医療センター歯科口腔外科 Department of Dentistry and Oral Surgery, Tokyo Metropolitan Geriatric Hospital
    • 市原 雅也 ICHIHARA Masaya
    • 東京都老人医療センター歯科口腔外科 Department of Dentistry and Oral Surgery, Tokyo Metropolitan Geriatric Hospital
    • 斉藤 美香 [他] SAITO Mika
    • 東京都老人医療センター歯科口腔外科 Department of Dentistry and Oral Surgery, Tokyo Metropolitan Geriatric Hospital
    • 平野 浩彦 HIRANO Hirohiko
    • 東京都老人医療センター歯科口腔外科 Department of Dentistry and Oral Surgery, Tokyo Metropolitan Geriatric Hospital

抄録

We report a case of airway obstruction caused by hematoma of the mouth floor following a mandibular fissured fracture due to a fall in a patient receiving antiplatelet therapy.<BR>An 83-year-old man receiving antiplatelet therapy, fell down, resulting in a mandibular fissured fracture and hematoma of the mouth floor. Airway obstruction developed rapidly 4 hours after the fall. Intubation of the airway was performed under endoscopic guidance, with the use of hemostatic drugs and steroids. CT showed a fissured fracture in the mandible and airway obstruction of the oropharynx. Hemorrhage was treated by stopping antiplatelet therapy and administering drugs. Because renal failure worsened, hemodialysis wasstarted. Hemorrhage of the mouth floor and narrowing of the airways recurred 45 days afterthe fall. Renal failure, anticoagulant treatment with hemodialysis, advanced age, poor healing of the wound, and stimulation due to food probably caused the hemorrhage.<BR>This case illustrates the risk of bleeding complications and the need for hemostasis including local treatment for injury, observation, and discontinuation of the responsible drug in patients receiving antithrombotic therapy. For airway obstruction due to bleeding complications, we recommend that patients are observed for at least 24 hours after injury.

収録刊行物

  • 日本口腔外科学会雑誌  

    日本口腔外科学会雑誌 52(3), 187-190, 2006-03-20 

    Japanese Society of Oral and Maxillofacial Surgeons

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各種コード

  • NII論文ID(NAID)
    10018860248
  • NII書誌ID(NCID)
    AN00189163
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    00215163
  • NDL 記事登録ID
    7900005
  • NDL 雑誌分類
    ZS44(科学技術--医学--歯科学・口腔外科学)
  • NDL 請求記号
    Z19-145
  • データ提供元
    CJP書誌  CJP引用  NDL  J-STAGE 
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