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タイトル: | Hemostasis management of tooth extraction in a patient with Bernard–Soulier syndrome and a severe bleeding tendency: A case report |
著者: | Mishima, Sayaka Nakao, Kazumasa Ikeno, Masayuki Bessho, Kazuhisa |
著者名の別形: | 三島, 清香 中尾, 一祐 別所, 和久 |
キーワード: | Bernard–Soulier syndrome HLA-matched platelets Optics method in fluorescent platelet channel Bleeding tendency Hemostasis management |
発行日: | Jul-2015 |
出版者: | Elsevier Japan KK |
誌名: | Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology |
巻: | 27 |
号: | 4 |
開始ページ: | 525 |
終了ページ: | 528 |
抄録: | Bernard–Soulier syndrome is characterized by thrombocytopenia, giant platelets, and severe bleeding; although bleeding varies widely, it is usually evident from childhood and requires particular attention during surgeries. We extracted a fractured tooth and performed hemostasis management in a male patient with a Bernard–Soulier syndrome-related severe bleeding tendency after intracerebral hemorrhage. The preoperative platelet count was abnormally low (7 × 10[9]/L). Normal coagulability was observed. After intravenous hydrocortisone administration, he received 10 human leukocyte antigen-matched platelet units. The extraction sites were packed with gelatine sponges and a splint was used for hemostasis. Excellent hemostasis was achieved with minimal human leukocyte antigen-matched platelets. |
著作権等: | © 2014. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/ The full-text file will be made open to the public on 1 July 2016 in accordance with publisher's 'Terms and Conditions for Self-Archiving'. この論文は出版社版でありません。引用の際には出版社版をご確認ご利用ください。 This is not the published version. Please cite only the published version. |
URI: | http://hdl.handle.net/2433/207519 |
DOI(出版社版): | 10.1016/j.ajoms.2014.09.010 |
出現コレクション: | 学術雑誌掲載論文等 |
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