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血小板无力症的血液学与外科治疗:一例报告

Hematological and surgical management in Glanzmann's thrombasthenia: a case report.

作者信息

Gopalakrishnan Anjana, Veeraraghavan Ravi, Panicker Prasanth

机构信息

Department of Pediatric Dentistry, Amrita School of Dentistry, Kochi, Kerala, India.

出版信息

J Indian Soc Pedod Prev Dent. 2014 Apr-Jun;32(2):181-4. doi: 10.4103/0970-4388.131000.

DOI:10.4103/0970-4388.131000
PMID:24739923
Abstract

Glanzmann's thrombasthenia (GT) is a rare, congenital, and moderate to severe platelet disorder. The bleeding time is increased, due to lack of platelet aggregation, since the patients with GT have deficient or dysfunctional integrin membrane glycoproteins IIb and IIIa essential for platelet aggregation. Children with GT are mostly diagnosed very early in life due to the spontaneous and unexplained mucocutaneous bleeding. It is quite a challenging task when any surgery is indicated for children with GT. This case report is about the medical and surgical management of an 11-year-old girl diagnosed with Glannzmann's thrombasthenia who had to undergo a maxillary cyst enucleation.

摘要

Glanzmann血小板无力症(GT)是一种罕见的先天性中重度血小板疾病。由于GT患者缺乏对血小板聚集至关重要的整合素膜糖蛋白IIb和IIIa或其功能异常,导致血小板聚集缺乏,出血时间延长。GT患儿大多在生命早期因自发性和不明原因的黏膜皮肤出血而被诊断出来。对于患有GT的儿童,如需进行任何手术,都是一项颇具挑战性的任务。本病例报告讲述的是一名被诊断为Glannzmann血小板无力症的11岁女孩的医疗和手术治疗情况,她不得不接受上颌囊肿摘除术。

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引用本文的文献

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Glanzmann Thrombasthenia: Use of the Soft Splint with Tranexamic Acid Paste to Reduce Spontaneous Oral Bleeding.血小板无力症:使用含氨甲环酸糊剂的软夹板减少自发性口腔出血
Int J Clin Pediatr Dent. 2021 Jul-Aug;14(4):580-585. doi: 10.5005/jp-journals-10005-1973.
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Management of siblings with Glanzmann's thrombasthenia: A case report.患有Glanzmann血小板无力症的兄弟姐妹的管理:一例报告。
J Family Med Prim Care. 2020 Mar 26;9(3):1733-1735. doi: 10.4103/jfmpc.jfmpc_1083_19. eCollection 2020 Mar.
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Glanzmann's Thrombastenia: The Role of Tranexamic Acid in Oral Surgery.
血小板无力症:氨甲环酸在口腔外科手术中的作用
Case Rep Dent. 2018 Sep 5;2018:9370212. doi: 10.1155/2018/9370212. eCollection 2018.
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Bleeding risk of surgery and its prevention in patients with inherited platelet disorders.遗传性血小板疾病患者手术的出血风险及其预防
Haematologica. 2017 Jul;102(7):1192-1203. doi: 10.3324/haematol.2016.160754. Epub 2017 Apr 6.