Sugar A W
Oral Surg Oral Med Oral Pathol. 1979 Aug;48(2):116-9. doi: 10.1016/0030-4220(79)90047-1.
Two cases of thrombasthenia, a rare hereditary disorder of platelet function, are presented. The oral surgical and dental management of these cases is discussed in the light of the development of isoantibodies to transfused platelets in one of the cases and in another case encountered. The problems of obtaining donor platelets matched for platelet and HL-A antigens are discussed. Emphasis is placed on the use of local hemostatic measures and antifibrinolytic agents in the management of hemorrhage in this disorder and the avoidance of platelet transfusions as far as possible. Conservative dentistry and early preventive dental advice are considered desirable in order to avoid extractions.
本文介绍了两例血小板无力症，这是一种罕见的遗传性血小板功能障碍疾病。根据其中一例患者以及另一例所遇到的患者体内针对输注血小板产生同种抗体的情况，讨论了这两例患者的口腔外科和牙科治疗方法。探讨了获取与血小板和HL - A抗原相匹配的供体血小板的问题。重点强调了在该疾病出血处理中使用局部止血措施和抗纤溶药物，并尽可能避免输注血小板。为避免拔牙，认为保守牙科治疗和早期预防性牙科建议是可取的。
