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对老年心脏病患者施行拔牙或其它小手术,以往曾列为禁忌证,随着现代医学的发展,近年来已将其改列为相对禁忌证.但在临床上为心脏病患者拔牙或治疗牙病时,由于处理不慎而使心脏病发作甚至发生意外的事例也偶见报道.1978年我们曾遇到2例老年心脏冠状动脉供血不足患者,1例系因工作过于紧张,就诊前休息不好,在做根管治疗时因疼痛而致心绞痛发作;另1例合并严重的神经衰弱,来我科就诊拔牙,拔除1
Teeth extraction or other minor surgeries for elderly patients with heart disease have been contraindicated in the past and with the development of modern medicine, they have been re-classified as relative contraindications in recent years, but in clinical practice, tooth extraction or treatment of patients with heart disease Occasionally, cases of heart attack or even accidental accidents due to careless handling were occasionally reported. In 1978, we encountered two cases of coronary heart insufficiency in elderly patients, one was due to work too nervous, rest before treatment Well, in the treatment of angina caused by angina pectoris attack; another case of severe neurasthenia, to our department for dental extraction, removal of 1