Abstract:

Abstract：Objective To evaluate the emergency management and prevention of systemic complications during implant treatment，and risk factors which may cause or enhance the oral implants systemic complications. Methods From January 2011 to December 2013，10 402 patients underwent oral implant rehabilitation，and 9 patients，including 6 males，3 females，showed systemic complications. The incidence rate was 0.09%. Among them anaphylactic shock occurred in two cases，sub-acute hypertensive crisis in three cases，swallow of the implant components in three cases，hyperventilation syndrome in one case. The emergency management and preventive measures were reviewed and analyzed. Results Nine patients were out of danger after timely treatment，and permanent implant restorations were delivered successfully. Conclusion Systemic diseases have a broad impact on the safety of implant treatment. To take the necessary precautions and learn basic first aid skills are the important guarantees to the success of the implant treatment.

Key words: implantology, systemic complication, emergency, prevention

摘要：

目的 探讨口腔种植修复中全身并发症的应急对策及风险因素的预防，增强对口腔种植修复中全身并发症发生原因和临床表现的认识，为临床医生提高急救能力和增强防范意识提供参考。方法 统计2011年1月至2013年12月在北京大学口腔医学院种植科接受口腔种植修复患者10 402例中，有9例在口腔种植修复治疗过程中发生全身并发症，发生率为0.09%。其中，发生过敏性休克2例，高血压危象亚急症3例，误吞种植体部件3例，过度换气综合征1例。回顾并分析9例患者临床急救处理及预防措施。结果 9例患者经及时救治均脱离危险，并成功完成种植修复。结论 全身疾病对种植修复安全性有广泛的影响，对口腔种植过程中出现的全身并发症掌握必要的急救技术和增强防范意识，是种植治疗成功的重要保障。

关键词: 口腔种植, 全身并发症, 急救, 预防