Lewandowski Bogumił
Oddział Chirurgii Szczekowo-Twarzowej Wojewódzkiego Szpitala Specjalistycznego, Rzeszowie.
Pol Merkur Lekarski. 2002 Jan;12(67):20-4.
Removed teeth in patients receiving long-term oral anticoagulant drugs there are all the time live insure, very important and controversial problem in stomatological practice. Continuation of anticoagulation oral drugs exposure the patients so long haemorrhage while withdraw anticoagulant therapy to induce the risk of thromboembolism. The investigation were in 53 patients with prosthetic heart valves whose treated oral anticoagulant agents. The all patients have removed teeth without withdraw anticoagulant therapy. TachoComb administrated in alveoli post extraction teeth. The hemorrhage were in 4 (7.54%) cause.
接受长期口服抗凝药物治疗的患者拔牙一直是口腔医学实践中一个极其重要且存在争议的问题。继续口服抗凝药物会使患者长时间出血,而停用抗凝治疗则会引发血栓栓塞风险。对53例接受口服抗凝剂治疗的人工心脏瓣膜患者进行了研究。所有患者均在未停用抗凝治疗的情况下拔除牙齿。拔牙后在牙槽窝内使用速即纱。有4例(7.54%)出现出血情况。