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[Unexpected hemorrhage in surgery].

Schweizerische Medizinische Wochenschrift

|June 14, 1975

Summary

This summary is machine-generated.

A simple preoperative screening, including patient history and specific tests like thromboplastin time and platelet count, effectively identifies patients with bleeding risks before surgery.

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Area of Science:

Surgical Hemostasis
Preoperative Patient Evaluation

Background:

Hemorrhage during surgery can occur even without detected hemostasis defects.
Early identification of bleeding tendencies is crucial for patient safety.

Purpose of the Study:

To evaluate a simple preoperative screening program for detecting bleeding tendencies before oral surgery.
To determine the program's suitability for identifying patients needing further hemostasis evaluation.

Main Methods:

Prospective study involving a detailed patient history to identify congenital or acquired bleeding disorders.
Inclusion of thromboplastin time (Quick test) for acquired coagulation defects.
Semiquantitative platelet count on blood smears to detect thrombocytopenia.

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Main Results:

The screening program effectively identified patients with bleeding tendencies.
The program indicated the need for more detailed hemostasis evaluation in specific cases.
Discussed the management of dilution syndrome from massive bleeding and transfusion.

Conclusions:

A straightforward preoperative screening program is effective in detecting potential bleeding risks.
This screening aids in identifying patients requiring comprehensive hemostasis assessment.
Proactive screening enhances surgical safety by mitigating unexpected hemorrhage risks.