Peisker Andre, Raschke Gregor Franziskus, Guentsch Arndt, Roshanghias Korosh, Schultze-Mosgau Stefan
Department of Cranio-Maxillofacial & Plastic Surgery, Jena University Hospital, Jena, Germany.
Center of Dental Medicine, Jena University Hospital, Jena, Germany ; Department of Surgical Sciences, Marquette University, School of Dentistry, Milwaukee, Wisconsin, USA.
J Dent (Tehran). 2014 Sep;11(5):613-9. Epub 2014 Sep 30.
Oral surgery in patients with bleeding disorders is associated with a high risk of bleeding during and after surgery. This article is aimed to present the case of an eight-year-old girl suffering from severe Fanconi anemia with pancytopenia who underwent a dental extraction. The hemostatic effect of local administration of tranexamic acid in combination with a primary suture seems to be extremely helpful in order to reduce the necessity of blood products and the risk of postoperative bleeding.
出血性疾病患者的口腔外科手术与手术期间及术后的高出血风险相关。本文旨在介绍一名患有严重范可尼贫血伴全血细胞减少症的8岁女孩接受拔牙手术的病例。局部应用氨甲环酸联合一期缝合的止血效果似乎对减少血制品的使用需求和术后出血风险非常有帮助。