혈우병A와 혈우병B 환자의 전신마취 하 치과치료
Dental Management under General anesthesia of Children with Hemophilia A and Hemophilia B
김익환, 박민지, 이고은, 이제호,
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김익환 ( Kim Ik-Hwan ) - 연세대학교 치과대학 소아치과학교실
박민지 ( Park Min-Ji ) - 연세대학교 치과대학 소아치과학교실
이고은 ( Lee Ko-Eun ) - 연세대학교 치과대학 소아치과학교실
이제호 ( Lee Jae-Ho ) - 연세대학교 치과대학 소아치과학교실
Abstract
Hemophilia is an X-linked herediatry disorder. Hemophilia A is a defiency of factor VIII and hemophilia B (Christmas disease) is a deficiency of factor IX. The most widely used classification is based on plasma procoagulant levels, with people 〈1% factor defined as severe; 1 - 5% moderately severe; and 〉5% as mild. A 7 years old boy visited our clinic with chief complaint of impacted supernumerary tooth. This boy had severe hemophilia A. With the previous ADVATE® injection and factor VIII replacement, Extraction of supernumerary tooth was successfully done under General anesthesia. A 9 years old boy referred from local clinic for dental caries treatment. This boy had severe hemophilia B. With the preparation of BeneFIX® injection, dental treatment was done successfully under general anesthesia. It is often first detected by dental trauma. Since bleeding after dental treatment may cause severe or even fatal complications, people with hemophilia must be given special dental care. The treatment of the patients with either hemophilia A or hemophilia B involves the intravenous infusion to either control or prevent bleeding.
키워드
Hemophilia A; Hemophilia B; Dental management; General anesthesia
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