항혈소판제 복용 환자의 구강 내 소수술 전 처치에 대한 제안

• 영문명: PROPOSAL FOR PRETREATMENT OF PATIENTS IN ANTIPLATELET THERAPY REQUIRING MINOR ORAL SURGERY
• 발행기관: 대한구강악안면외과학회
• 저자명: 최지욱(Ji-wook Choi) 최세경(Se-Kyung Choi) 김남균(Nam-kyun Kim) 최의영(Eui young Choi) 차인호(In-Ho Cha) 김형준(Hyung Jun Kim)
• 간행물 정보: 『대한구강악안면외과학회지』대한구강악안면회과학회지 제35권 제6호, 426~430쪽, 전체 5쪽
• 주제분류: 의약학 > 내과학
• 파일형태: PDF
• 발행일자: 2009.12.30

영문 초록

Purpose: Many patients in anti-platelet therapy have been consulted for bleeding risks before minor oral surgery. However, there has not been an established pretreatment protocol for treating these patients. The purpose of this study is to make a protocol for the preoperative management for patients in anti-platelet therapy. Patients and Methods: The existed consultation pattern of patients was examined in the Department of Oral and Maxillofacial Surgery, Yonsei Dental Hospital. Based on the observation, a protocol including classification of medical status of patients and the type of oral surgery in need was introduced. This protocol had been performed for 6 months. Result: Following this protocol, the frequency of consultation for bleeding risk was decreased. The number of minor oral surgeries with concurrent anti-platelet therapy was increased. There was no severe bleeding event observed among minor oral surgeries that were performed while maintaining anti-platelet therapy. Conclusion: This protocol can be used as a guideline for clinical practice of patients in anti-platelet therapy requiring minor oral surgery.

키워드

anti-platelet therapy surgery bleeding aspirin consultation