血小板無力症患者の抜歯経験

概要

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Glanzmann's thrombasthenia is a rare congenital platelet disorder characterized by prolonged bleeding time, qualitative platelet defect and severe hemorrhagic episodes. On the occasion of tooth extraction, patients with this disorder have been mostly managed by administration of blood or blood components. In the case of platelet transfusions, there may be risks of causing hepatitis, HLA antigen products and graft versus host disease. Therefore, if postsurgical bleeding can be possibly controlled with local hemostatic procedures, it is desirable to avoid transfusions of blood or blood components. In this report, local hemostatic treatment combined with Oxycel®, Peripack® and a resin sprint were sufficient to control the postsurgical bleeding without any blood supplements.
社団法人日本口腔外科学会の論文