書誌事項
- タイトル別名
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- A case of hemorrhage due to a panfacial fracture that was successfully treated by embolization of the branches of the external carotid artery
- ガンメン タハツ コッセツ ニ トモナウ シュッケツ ニ タイシテ ガイ ケイドウミャク ブンシ ノ ドウミャク ソクセンジュツ ガ ユウコウ デ アッタ 1レイ
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We report a case of hemorrhage due to a panfacial fracture that was successfully treated by embolization of the branches of the external carotid artery. A 39-year-old man had a traffic accident while intoxicated and was admitted to the emergency department. The clinical diagnosis included a panfacial fracture（Le Fort Ⅰ, Ⅱ, Ⅲ, and right mandibular body and symphysis fractures）with associated fractures of the limbs and other bones. The patient had a massive hemorrhage from the oral and nasal cavities. The hemorrhage was controlled temporarily by application of pressure. Dental impressions were taken to prepare for surgical fracture fixation. Immediately after impression taking, hemorrhage from both the nasal cavities and the posterior portion of the maxilla recurred. We attempted to induce hemostasis by gauze packing and Bellock tamponade repeatedly, but complete hemostasis was difficult to achieve. Therefore, embolization of the branches of external caroid artery was performed bilaterally, using the Seldinger technique. Complete hemostasis was achieved after embolization, and the operation was performed at a later date.
収録刊行物
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- 日本口腔外科学会雑誌
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日本口腔外科学会雑誌 55 (8), 415-418, 2009
社団法人 日本口腔外科学会
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詳細情報 詳細情報について
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- CRID
- 1390282681508122880
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- NII論文ID
- 10027090909
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- NII書誌ID
- AN00189163
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- ISSN
- 21861579
- 00215163
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- NDL書誌ID
- 10423168
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- NDL
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- CiNii Articles
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