著者

風岡 宜暁 冨田 陽二 安井 昭夫

出版者

Japanese Society of Oral and Maxillofacial Surgeons

雑誌

日本口腔外科学会雑誌 (ISSN:00215163)

巻号頁・発行日

vol.36, no.12, pp.2824-2829, 1990-12-20 (Released:2011-07-25)

参考文献数

32

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Gas producing infections are considered to be rare in occurrence in the head and neck. A case of non-clostridial infection of which cause was unclear is reported.A 84-year-old woman was refered to our clinic with a chief complaint of swelling in the face. She had marked swelling of he right face and neck regions. The radiological finding of the face showed abundant gas in the soft tissue.The cultured face abscess revealed a growth of Bacteroide splanchnicus.Clinical diagnosis was phlegmon. A surgical excision about 5×4 cm in size was made in the necrosis tissue of the buccal, and an incision and curettage were performed in gas producing abscess of the right face, neck and chest. After operation, the data of laboratory examinations (4.8×104/m of platelet, 45% of prothrombin time) suggested disseminated intravascular coagulation (DIC). Gabexate (FOY®) and Heparin were immediatly administered, and the hematological examinations required 3 weeks to improve.In spie of irrigation, antibiotics (CTT, CLDM, CZX, PLB, CTM) and our intensive care which succeed to control the gas producing infection, the patient died of suffocation on 46 days after admission.

著者

安井 昭夫 北島 正一朗 丸尾 尚伸 丹羽 慶嗣 角田 定信

出版者

日本口腔診断学会

雑誌

日本口腔診断学会雑誌 (ISSN:09149694)

巻号頁・発行日

vol.27, no.3, pp.311-315, 2014-10-01 (Released:2014-10-31)

参考文献数

7

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Many cases of accidental insertion of an iatrogenic foreign body during dental therapy involve radiopaque items such as dental bars, syringe needles, inlays, implants, etc. In such cases, the size and shape of the foreign body are determined by plain X-rays, and upon confirming the location of the accidental insertion in the CT, the surgical procedure is considered in detail to avoid causing secondary damage while extracting the foreign body. We report two cases we experienced, in which we extracted a metallic foreign body that had been accidentally inserted in the inside and outside of the mandible during tooth extraction.

著者

安井 昭夫

出版者

京都自治体問題研究所

雑誌

京都自治研究 : Kyoto研究所報 (ISSN:1883065X)

巻号頁・発行日

no.5, pp.83-89, 2012-06