日本口腔科学会雑誌
Online ISSN : 2185-0461
Print ISSN : 0029-0297
ISSN-L : 0029-0297
再生不良性貧血患者の抜歯における止血処置の検討
宇佐美 雄司小田 有紀子新美 直哉加藤 武司上田 実
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1997 年 46 巻 4 号 p. 361-365

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Aplastic anemia is characterized by a failure of blood cell production resulting in various degrees of pancytopenia, so patients with the disease show not only anemia but also thrombocytopenia. Dental extraction is one of the most popular surgeries; therefore, it is important to investigate the platelet levels and postoperative hemostatic measures. In this study, a clinico-statistical analysis was carried out on 18 patients with idiopathic aplastic anemia.
The results were as follows:
1. It was possible to obtain hemostasis after ordinary dental extractions without platelet transfusion if platelet levels were above 2.5-3×104/mm3.
2. About 10 units of platelet concentrate were available for hemostasis after dental extraction in patients with platelet levels below 1×104/mm3.
3. It was concluded that local hemostatic measure is important for these patients.

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