출혈성 장애환자에서 지속적인 치은출혈시 지혈법 : 증례보고
THE CONTROL METHOD OF CONTINUOUS GINGIVAL BLEEDING IN A DISABLED PATIENT WITH BLEEDING DISORDER : REPORT OF A CASE
손정석, 오지현, 유재하, 김종배,
소속 상세정보
손정석 ( Son Jeong-Seog ) - 연세대학교 치과대학 구강악안면외과학교실
오지현 ( Oh Ji-Hyeon ) - 연세대학교 치과대학 구강악안면외과학교실
유재하 ( Yoo Jae-Ha ) - 연세대학교 치과대학 구강악안면외과학교실
김종배 ( Kim Jong-Bae ) - 계명대학교 의과대학 동산의료원 치과학교실
KMID : 1144020140100010031
Abstract
The general local cause of gingival bleeding is the vessel engorgement and erosion by odontogenic infection. Abnormal gingival bleeding is also associated with systemic causes. Bleeding disorders in which continuous gingival bleeding is encountered include the followings : vascular abnormalities, platelet disorders, hypoprothrombinemia and other coagulation defects. There are classic methods for gingival bleeding control, such as, direct pressure, electrocoagulation, suture, crushing and application of hemostatic agents. If the continuous gingival bleeding is not stopped in spite of the conventional methods, the life of patient is threatened owing to upper airway obstruction, syncope, vomiting and hypovolemic shock. Therefore, the rapid and correct hemostatic method is very important in the emergency condition. This is a case report of continuous gingival bleeding control by primary endodontic drainage & suture in a disabled patient with systemic bleeding disorders.
키워드
Bleeding disorders; Gingival bleeding; Endodontic drainage
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