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全身麻醉下血友病患儿的牙科治疗管理

Dental management of hemophiliac child under general anesthesia.

作者信息

Rayen R, Hariharan V S, Elavazhagan N, Kamalendran N, Varadarajan R

机构信息

Department of Pedodontics and Preventive Dentistry, Thai Moogambigai Dental College, Mogappair, India.

出版信息

J Indian Soc Pedod Prev Dent. 2011 Jan-Mar;29(1):74-9. doi: 10.4103/0970-4388.79954.

Abstract

Hemophilia is the most common inherited bleeding disorder. Hemophilic patients should be cosidered as special patients. There is no contraindication to general dental treatment for hemophiliacs, as they generally do not involve bleeding. But caution must be used with any surgical procedures that involve the local and general anesthesia. Such patients should always be managed in the setting of specialized units with appropriate clinical expertise and laboratory support. Recent advances in the management of hemophilia have enabled many hemophiliac patients to receive surgical dental procedures in an outpatient dental care on a routine basis. The purpose of this case report is to provide a few management strategies when providing full mouth rehabilitation under anesthesia and replacement therapies that are available. In addition, overviews of possible complication that may be encountered when providing such treatment are discussed here.

摘要

血友病是最常见的遗传性出血性疾病。血友病患者应被视为特殊患者。血友病患者进行一般牙科治疗通常没有禁忌证,因为一般不涉及出血。但对于任何涉及局部和全身麻醉的外科手术必须谨慎。此类患者应始终在具备适当临床专业知识和实验室支持的专科单位进行管理。血友病管理方面的最新进展使许多血友病患者能够在门诊牙科护理中常规接受外科牙科手术。本病例报告的目的是提供一些在麻醉和现有替代疗法下进行全口修复时的管理策略。此外,本文还讨论了提供此类治疗时可能遇到的并发症概述。

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