在大唇切除术后出现显著出血事件
Brandon Linaksita1, Hetal Desai2, Olivia Dalzell1
1Pediatric Dental Fellows, Department of Dentistry, Division of Hematology/Oncology, The Hospital for Sick Children, Toronto, Ontario, Canada.
Journal of dentistry for children (Chicago, Ill.)
|August 27, 2025
概括
在一个16个月大的男孩身上进行激光大唇切除术导致严重出血, 这一案例强调了在手术前对出血疾病进行查的必要性.
科学领域:
- 牙科学
- 儿童医学
- 血液学
背景情况:
- 由于功能和美学原因,腔切除术是常见的牙科手术.
- 这些侵袭性干预措施带来潜在的风险,
- 常规使用切除术缺乏强有力的支持证据.
研究的目的:
- 在激光大唇切除术后报告严重的术后出血.
- 强调程序前系统状况评估的重要性.
- 质疑目前进行大切除术的频率.
主要方法:
- 一个16个月大的男性患者的病例报告.
- 详细的临床表现 长时间的口腔出血后激光除术.
- 诊断工作导致血友病A诊断.
主要成果:
- 患者经历了超过12个小时的口腔出血,
- 这种出血导致了严重的血友病A的诊断.
- 这一事件强调了对凝血病进行查的必要性.
结论:
- 在进行上切除手术之前,对患者进行彻底的评估,包括排除全身性凝血病.
- 由于证据有限,常规膜切除术的必要性和频率需要进一步调查.
- 儿童牙科手术需要仔细考虑潜在的全身健康状况.
相关概念视频
01:30Epistaxis
257
Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
257
01:26Tonsillitis II: Management
175
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
175