Serious postextraction hemorrhage into the submandibular space: report of case.
A 47-year-old woman had a swelling in the floor of the mouth and in the submandibular area on the left side. About four hours earlier, a dentist had extracted the mandibular left second premolar and first molar. The rate and degree of the distension were alarming; the floor of the mouth was at a level with the incisal edges of the mandibular incisors. Five hours later, the floor of the mouth was elevated about 1 1/2 cm above the incisal edges of the teeth. Treatment of the patient and her unusual sensitivity to meperidine and promethazine that caused a depression into Cheyne-Stokes respiration and hypotension are described.
D001794:Blood Pressure; D002639:Cheyne-Stokes Respiration; D005260:Female; D006406:Hematoma / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D007442:Intubation, Intratracheal; D008012:Lidocaine / Q000627:therapeutic use; D008614:Meperidine / Q000627:therapeutic use; D008875:Middle Aged; D009060:Mouth Floor; D009270:Naloxone / Q000627:therapeutic use; D006472:Oral Hemorrhage / Q000188:drug therapy / Q000209:etiology*; D010100:Oxygen / Q000627:therapeutic use; D010406:Penicillins / Q000627:therapeutic use; D011398:Promethazine / Q000627:therapeutic use; D011674:Pulse; D012119:Respiration; D012131:Respiratory Insufficiency / Q000628:therapy; D014081:Tooth Extraction / Q000009:adverse effects*
D010406:Penicillins; D009270:Naloxone; D008012:Lidocaine; D008614:Meperidine; D011398:Promethazine; D010100:Oxygen