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拔牙后出血:着重于罕见凝血障碍的诊断。

Post-dental extraction bleeding: Emphasis on the diagnosis of rare coagulation disorders.

作者信息

Shadamarshan R Arunkumar, Sharma Rohit, Pradhan Ishan, Kumar Pramod

机构信息

Dental Centre, C/o WLDMH HQ IMTRAT Bhutan.

Command Military Dental Centre (WC) Chandimandir India.

出版信息

Clin Case Rep. 2021 Aug 30;9(9):e04746. doi: 10.1002/ccr3.4746. eCollection 2021 Sep.

Abstract

Disorders of the fibrin stabilizing and fibrinolytic pathway should be considered in patients with excessive postsurgical bleeding with normal screening tests of hemostasis. History, clinical assessment of the timing and severity of bleeding along with utilization of advanced tests such as global hemostasis assays and appropriate coagulation factor assays (especially FXIII) will aid in the diagnosis.

摘要

对于术后出血过多但止血筛查试验正常的患者,应考虑纤维蛋白稳定和纤维蛋白溶解途径紊乱。病史、对出血时间和严重程度的临床评估,以及使用如整体止血检测和适当的凝血因子检测(特别是FXIII)等先进检测方法,将有助于诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9832/8405522/d36819ef9b9b/CCR3-9-e04746-g001.jpg

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