Abstract
A case of post-extraction hemorrhage thought to result from local DIC associated with a chest dissecting aortic aneurysm was brought in for examination. A 70-year-old man had received local hemostatic treatment with suturing and packing a oxycellulose to a wound after tooth extraction. Because the hemorrhage resumed, he was hospitalized, to stop the bleeding and to investigate the cause of the hemorrhage. The peripheral blood examinations on admission indicated that platelet values was in normal range (154, 000/μl), but a serum FDP was high level (over 200μg/ml), thus he was an abnormal fibrinolytic activity condition. Although a celluloid pack was used to stop bleeding, the wound after extraction had recurrent bleeding. He was diagnosed a chronic DIC caused by the residual alveus with detachment of vascular wall by a doctor of the cardiovascular surgery. Then there was a marked declined in the levels of FDP with gabexate mesilate and heparin from fifth day of admittance and was almost no evidence of hemorrhage. He didn't need to stop the bleeding with a celluloid pack at fifteenth day and was discharged on twenty-fifth, because his wound healing was in a good condition. It is difficult to stop the bleeding of those who has a chronic DIC, although platelet values had normal range.
