血小板減少を示した患者における口腔出血管理について

概要

論文の詳細を見る
87 oral surgical procedures, by careful local treatments with hemostatic splints without platelet transfusion, were done to 48 cases of thrombocytopenia. In some cases, corticosteroid or anti-fibrinolytic agent or both were used as a supportive treatment. Postoperative complications, such as bleeding or difficulty in hemostasis, were not encountered in any of the cases. The wound healings were good. The platelet counts and tromboelastograms (TEG) of these patients were examined. Even the cases with platelet count of 0.8×104/mm3 or thromboelastograms of k: 30mm, ma: 30mm and k: 13mm, ma: 28mm were able to undergo dental surgeries. These clinical experiences suppose that the indication of dental surgeries for thrombodytopenic cases can be extended with references to thromboelastograms.
社団法人日本口腔外科学会の論文