중증 간경변증 환자에서 발치창 과도 출혈부의 지속적 배농술을 통한 지혈 :

• 영문명: BLEEDING CONTROL BY CONTINUOUS WOUND DRAINAGE OF ACTIVE BLEEDING SITES OF TEETH EXTRACTION WOUND IN A PATIENT WITH ADVANCED LIVER CIRRHOSIS : REPORT OF A CASE
• 발행기관: 대한구강악안면외과학회
• 저자명: 모동엽(Dong-Yub Mo) 유재하(Jae-Ha Yoo) 최병호(Byung-Ho Choi) 김하랑(Ha-Rang Kim) 이천의(Chun-Ui Lee) 유미현(Mi-Heon Ryu)
• 간행물 정보: 『대한구강악안면외과학회지』대한구강악안면회과학회지 제35권 제6호, 431~436쪽, 전체 6쪽
• 주제분류: 의약학 > 내과학
• 파일형태: PDF
• 발행일자: 2009.12.30

영문 초록

There are five principal causes for excessive bleeding in the immediate postextraction phase ; (1) Vascular wall alteration (wound infection, scurvy, chemicals, allergy) (2) Disorders of platelet function (genetic defect, drug-aspirin, autoimmune disease) (3) Thrombocytopenic purpuras (radiation, leukemia), (4) Inherited disorders of coagulation (hemophilia, Christmas disease, vitamin deficiency, anticoagulation drug-heparin, coumarin). If the hemorrhage from postextraction wound is unusually aggressive, and then dehydration and airway problem are occurred, the socket must be packed with gelatine sponge(Gelfoam) that was moistened with thrombin and wound closure & pressure dressing are applied. The thrombin clots fibrinogen to produce rapid hemostasis. Gelatine sponges moistened with thrombin provide effective coagulation of hemorrhage from small veins and capillaries. But, in dental alveoli, gelatine sponges may absorb oral microorganisms and cause alveolar osteitis (infection). This is a case report of bleeding control by continuous rubber strip & iodoform gauze drainage (without gelfoam packing) of active bleeding infection sites of three teeth extraction wounds in a 46-years-old female patient with advanced liver cirrhosis

키워드

Active oral bleeding Dental extraction wound Liver cirrhosis Continuous wound drainage Bleeding control