Piot B, Fiks-Sigaud M, Ferri J, Gordeeff A, Mercier J
Service de Stomatologie et Chirurgie Maxillo-Faciale, C.H.R.U., Nantes.
Rev Stomatol Chir Maxillofac. 1994;95(4):263-7.
Extensive bleeding is an important complication of dental extractions in haemophiliacs. Based on 26 case reports, the different therapeutic possibilities are discussed. When general or regional anaesthesia is required, protocols can be proposed for coagulation factor supplementation or even treatment with Minirin. In cases with local anaesthesia, substitution is not required. The importance of mandatory local haemostatic measures combined with antifibrinolytic treatment is emphasized.
大量出血是血友病患者拔牙后的重要并发症。基于26例病例报告,讨论了不同的治疗可能性。当需要全身或局部麻醉时,可以提出补充凝血因子甚至使用去氨加压素治疗的方案。在局部麻醉的情况下,则不需要替代治疗。强调了强制性局部止血措施与抗纤维蛋白溶解治疗相结合的重要性。