Xi'an Daxing Hospital: After the uncle's tooth extraction, he stayed into the ICU, and only 4 surgery to save his life

A few days ago, 59 -year -old old money was pulled out of the clinic because of dental disease, but he couldn't think of it. He finally lived in the ICU and had 4 surgery to save his life.

"I am too great, a teeth, almost‘ knocked down ’.”

After pulling a teeth, it was going to surgery

On May 22, Lao Qian pulled a teeth in a clinic. The next day, the gums began to swell.

After 4 days of anti -inflammatory needle, the swelling did not disappear, and even my throat hurts. "Eating is a problem!"

On the morning of May 26, the old money had fever, chest pain, breathlessness, and difficulty breathing. At more than 7 pm that day, the old money was sent to the emergency department of Daxing Hospital of Xi'an.

The urgent check of blood, the infection indicators are high. After the urgent consultation of the otolaryngus and throat -facial neck surgery, the old money considers the severe infection caused by the old money after extraction. The inflammation caused the swelling of the pharynx tissue and blocked the airway. "At any time, the risk of suffocation must be surgery as soon as possible."

More than 10 infections, pus "blocked the throat"

Open the green channel immediately and conduct pre -operation examination. Director Mago was holding the "trachea cutting bag" in his hand to prepare for cutting the trachea at any time.

The inspection found that the infection area was very large, from the bottom of the skull, the bottom to the longitudinal diaphragm, and more than 10 infected positions.

Director Ma introduced that the patient's bilateral neck was completely filled with pus around the pus. Once the pus eroded, the large blood vessels were ruptured and the consequences were unimaginable.

▲ Preoperative CT: Except the location of the airway, the remaining black parts are infected to varying degrees

Check the diagnosis:

· Double -side maxillofacial multi -gap infection (temporal, pharynx, wing jaw, posthaopharya, under -plane muscles, bottom, mandibular, underprooping, cheese gap)

· Cervical honeycomb woven inflammation

· Dental downside necrotic hyperthyroidism

· Chest infection

· pneumonia

Native

Surgery for overnight, live in ICU after surgery

Director Mago urgently contacted chest surgery and surgery anesthesiology department to perform surgery for old money overnight. During the operation, cut the trachea first to ensure that the respiratory tract is smooth.

Director Ma implemented the depth of the maxillofacial neck abscess for the old money. The infection area is large, the neck incision is about 13cm long. Director Ma is separated from each gap in the skull bottom, maxillofacial, and neck.

After rinse, put the vsd drainage tube negative pressure drainage.

Immediately afterwards, the director of the thoracic surgery Wang Lu opened the longitudinal thoracic membrane under the thoracoscopy, cleared the pus, and placed the bail to drain pipe.

Five hours later, the surgery ended smoothly, and the old money turned to the ICU for further treatment.

"The patient's infection is too serious, and a surgery cannot completely solve the problem!" Director Ma said.

Once once a week, after 4 times the operation is out of danger

After a few days of treatment, the condition of the old money gradually stabilized, and the indicators of various infections dropped significantly.

On June 2nd, the second phase was performed, and the infection was found during the operation that caused a large area tissue necrosis. Director Mago cleared the neck of the maxillofacial, neck, and necrosis of adipose tissue, and replaced the VSD drainage tube.

On June 9th, the third phase of surgery needs to be further debris and replace VSD. The pus and necrotic tissues were significantly reduced during the operation. After surgery, the drainage tube gradually had no pus.

On June 16, the fourth phase of the surgical suture incision.

After surgery, the old money resumed continued. It can be eaten normally.

According to statistics, in the past three years, there are more than 100 patients with maxillofacial gap infections admitted by Daxing otustion and throat -facial facial scholarship.

Director Ma introduced that every gap in the oral maxillion facial area is connected, and purulent inflammation often spreads to multiple adjacent gaps, causing extensive swelling, swallowing and speaking difficulty. When the situation is serious, it will even cause suffocation. Director Ma reminds everyone that there is no small matter for toothache and tooth problems.

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Written: Li Junxian

Review: Bu Liang

Responsible editor: Liu Shuhai

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