Henderson J M, Bergman S, Salama A, Koterwas G
Department of Oral and Maxillofacial Surgery, University of Maryland at Baltimore, 21201, USA.
J Oral Maxillofac Surg. 2001 Apr;59(4):421-7. doi: 10.1053/joms.2001.21881.
Patients with disorders of coagulation and bleeding can be among the most challenging surgical patients to manage. Intraoperative or postoperative bleeding can contribute to life-threatening complications in even the most "benign" surgical procedures. An adequate number and function of platelets play a critical role in the coagulation pathway. A thorough understanding of platelet physiology and platelet disorders is therefore essential in the management of the thrombocytopathic oral and maxillofacial surgery patient. A careful preoperative evaluation will help the surgeon treat these patients and help prevent potentially catastrophic intraoperative or postoperative bleeding.
凝血和出血紊乱的患者可能是最难管理的外科患者之一。即使在最“良性”的外科手术中，术中或术后出血也可能导致危及生命的并发症。足够数量和功能的血小板在凝血途径中起着关键作用。因此，全面了解血小板生理学和血小板紊乱对于治疗血小板病性口腔颌面外科患者至关重要。仔细的术前评估将有助于外科医生治疗这些患者，并有助于预防潜在的灾难性术中或术后出血。
