The Journal of Korea Assosiation for Disability and Oral Health (대한장애인치과학회지)

Korean Association for Disability and Oral Health (대한장애인치과학회)
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CARE OF ANXIETY DISORDER AND HYPERVENTILATION DURING REFRACTORY TOOTH EXTRACTION IN A PSYCHOLOGIC DISABLED PATIENT

정신장애 환자에서 난발치 중의 불안장애와 과환기 관리 : 증례보고

  • Oh, Ji-Hyeon (Department of Dentistry, Wonju Severance Christian Hospital, Yonsei University) ;
  • Yoo, Jae-Ha (Department of Dentistry, Wonju Severance Christian Hospital, Yonsei University) ;
  • Kim, Jong-Bae (Department of Dentistry, Dong San Medical Center, Keimyung University)
  • 오지현 (연세대학교 원주세브란스기독병원 치과학교실) ;
  • 유재하 (연세대학교 원주세브란스기독병원 치과학교실) ;
  • 김종배 (계명대학교 의과대학 동산의료원 치과학교실)
  • Received : 2014.12.10
  • Accepted : 2014.12.24
  • Published : 2014.12.31
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Abstract

Hyperventilation is produced by several distinct causes: anxiety, respiratory alkalosis, increased blood catecholamine levels, and a decrease in the level of the ionized calcium in the blood. The dental fears about acute pain, bleeding, needle, drill and dental surgery lead to the severe anxiety and increased blood catecholamine level. Therefore, the most dental patient should be cared gently as the stress reduction protocol. In spite of the gentle care, a hyperventilation were occurred during the surgical extraction of impacted third molar with pericoronitis. We suggest that the dental patients with anxiety disorder must be attention for the manifestation of hyperventilation, especially in the psychologic disabled patient.

저자 등은 개원 치과의원에서 하악 매복지치 발치중 유발된 불안장애와 과환기증 및 발치 창상 주위 출혈과 동통을 보였던 57세 여환을 신속한 정신안정법 적용하에 수액 약물요법과 외과적 처치(잔존 치근 남긴채 창상 지혈, 봉합, 배액술 등)로 관리하여 양호한 경과를 치험하면서, 평소 진료시 정신과적 장애문제에 큰 관심을 가져야 하며, 특히 수술시 스트레스 감소법에 더욱 유념하게 되었다.

Keywords

References

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