Luke K H
Hematology/Oncology Service, Children's Hospital of Eastern Ontario.
J Can Dent Assoc. 1992 Feb;58(2):115-8.
As a result of recent advances in the understanding of hemostatic mechanisms--and the availability of more accurate diagnostic tests, effective replacement therapy and medications--most of the common bleeding disorders in children can be diagnosed and managed. Children with bleeding disorders often present with dental problems. Their comprehensive care requires specialized preventive and acute dental treatment. With improvements in dental care protocols and surgical procedures, the risk of excessive bleeding in these children as a result of dental procedures should be minimal, particularly if they are well prepared and treated beforehand. It is important for dentists to be familiar with these specialized dental care protocols and procedures, and knowledgeable about the medical treatment provided to children with bleeding disorders. This allows dentists to coordinate the care of a hemophiliac with his or her physician in a comprehensive manner.
由于在止血机制理解方面的最新进展——以及更准确的诊断测试、有效的替代疗法和药物的可得性——大多数儿童常见出血性疾病能够得到诊断和管理。患有出血性疾病的儿童常常存在牙科问题。他们的全面护理需要专门的预防性和急性牙科治疗。随着牙科护理方案和外科手术的改进，这些儿童因牙科手术导致过度出血的风险应降至最低，尤其是如果他们事先得到充分准备和治疗。牙医熟悉这些专门的牙科护理方案和程序，并了解为患有出血性疾病的儿童提供的医疗治疗，这很重要。这使得牙医能够以全面的方式与血友病患者的医生协调护理工作。
