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特发性血小板减少性紫癜患者牙种植术后的危及生命的后果：一例病例报告及文献综述

Life-threating outcomes after dental implantation in patient with idiopathic thrombocytopenic purpura: a case report and review of literature.

作者信息

Lee Sung-Tak, Kim Jin-Wook, Kwon Tae-Geon

机构信息

Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyungpook National University, 2177 Dalgubeol-daero, Jung-gu, Daegu, 41940 Republic of Korea.

出版信息

Maxillofac Plast Reconstr Surg. 2018 Dec 10;40(1):39. doi: 10.1186/s40902-018-0178-9. eCollection 2018 Dec.

DOI:10.1186/s40902-018-0178-9
PMID:30588476
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6286906/
Abstract

BACKGROUND

Patients with chronic ITP (idiopathic thrombocytopenia) frequently do not require comprehensive medication for daily life. Usually, it had been regarded that postoperative bleeding after a simple or surgical extraction is easily controlled by simple local measures even in patients with ITP. This lack of regular medication usage can sometimes lead practitioners or patients to underestimate the potential life-threatening risk of ITP. There had been no report on postoperative hemorrhage in a patient with ITP related to dental implant surgery.

CASE PRESENTATION

This report presented a life-threatening postoperative hemorrhage after dental implant surgery in an adult with chronic ITP and subsequent emergency management after severe bleeding and airway compromise.

CONCLUSION

The presented case emphasizes the thorough hematological evaluation of the patients even for patients who do not take any specific medications for asymptomatic, chronic ITP.

摘要

背景

慢性特发性血小板减少性紫癜（ITP）患者日常生活通常不需要全面用药。通常认为，即使是ITP患者，简单或外科拔牙术后的出血通过简单的局部措施也易于控制。这种缺乏规律用药的情况有时会导致从业者或患者低估ITP潜在的危及生命的风险。此前尚无关于ITP患者种植牙手术术后出血的报道。

病例报告

本报告介绍了一名患有慢性ITP的成年人种植牙手术后危及生命的术后出血情况，以及严重出血和气道受压后的后续紧急处理。

结论

该病例强调，即使是无症状的慢性ITP且未服用任何特定药物的患者，也需要对其进行全面的血液学评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9731/6286906/08f8fb490c6c/40902_2018_178_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9731/6286906/44f40ec46a79/40902_2018_178_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9731/6286906/12aa9fb436e3/40902_2018_178_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9731/6286906/224910461d19/40902_2018_178_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9731/6286906/08f8fb490c6c/40902_2018_178_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9731/6286906/44f40ec46a79/40902_2018_178_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9731/6286906/12aa9fb436e3/40902_2018_178_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9731/6286906/224910461d19/40902_2018_178_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9731/6286906/08f8fb490c6c/40902_2018_178_Fig4_HTML.jpg

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