CAJ | 학술논문

近年来，大型专科口腔医院口腔颌面外科门诊的就诊量在逐年增多，相应的医疗风险也随之增加，其中包括可能危及患者生命的医疗突发事件。最常见的突发事件有晕厥，其次是过度换气、药物过量、肾上腺素反应以及高血压等。突发事件主要发生在治疗结束未离开口腔诊室前、局部麻醉过程中或紧随局部麻醉后以及治疗过程中。牙齿拔除相关的突发事件最多，其次是局部麻醉相关。强烈提示口腔医师应该重视门诊临床突发事件的处理，进行相关知识和技能的培训，提高应对突发事件的能力。
근년래，대형전과구강의원구강합면외과문진적취진량재축년증다，상응적의료풍험야수지증가，기중포괄가능위급환자생명적의료돌발사건。최상견적돌발사건유훈궐，기차시과도환기、약물과량、신상선소반응이급고혈압등。돌발사건주요발생재치료결속미리개구강진실전、국부마취과정중혹긴수국부마취후이급치료과정중。아치발제상관적돌발사건최다，기차시국부마취상관。강렬제시구강의사응해중시문진림상돌발사건적처리，진행상관지식화기능적배훈，제고응대돌발사건적능력。
In?recent?years,?the?number?of?outpatients?in?stomatological?hospital?is?in?increasing?year?by?year?and?being?accompanied?by?the?corresponding?medical?risks.?One?of?the?risks?which?may?endanger?the?patient?life?is?medical?emergency?which?need?emergency?treatment?by?the?dentists?in?dental?clinical?practice.?The?most?common?emergency?type?is?syncope,?followed?by?hyperventilation,?drug?overdose,?adrenaline?reaction?and?hypertension,?etc.?Unexpected?events?mainly?occurred?at?the?end?of?the?treatment?and?before?leaving?the?dental?clinic,?during?or?immediately?after?the?local?anesthesia,?in?the?treat-ment?process.?Tooth?extraction?related?emergency?is?the?most?frequently?occurring?emergency,?followed?by?the?local?anes-thesia?related?ones.?It’s?strongly?suggested?that?dentists?should?pay?more?attention?to?outpatient?clinical?emergency?treatment,?and?related?knowledge?and?skills?training?should?be?offered?to?improve?the?ability?to?handle?medical?emergencies.