書誌事項
- タイトル別名
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- Management of tooth extraction in a patient with polycythemia vera and a history of multiple cerebral infarction
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Polycythemia vera (PV) is a hematopoietic stem cell disorder that results in an increased total red cell volume. Clinically, polycythemia vera is usually diagnosed after hematologic complications, such as major thrombosis or hemorrhage. Because invasive dental treatmentfor patients with PV can cause uncontrolled hemorrhage or thrombosis, including disseminated intravascular coagulation (DIC), careful preoperative assessment and treatment planningare needed. We report a case of multiple tooth extraction in a patient with PV. A 55-year-old man with PV was referred to our clinic because of abnormal bleeding after periodontal scaling. He had a history of multiple cerebral infarction and hypertension, and had beenreceiving an oral antithrombotic drug. Since the patient complained of difficulty in eating due to gingival bleeding associated with severe periodontitis, tooth extraction was planned. The blood condition was controlled by the patient's physician and multiple tooth extraction was performed without stopping the oral antithrombotic drug. Although hemorrhage fromthe socket recurred for several days, complete hemostasis was achieved 10 days after surgery by the use of a hemostatic splint.
収録刊行物
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- 日本口腔外科学会雑誌
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日本口腔外科学会雑誌 49 (12), 686-689, 2003
社団法人 日本口腔外科学会
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詳細情報 詳細情報について
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- CRID
- 1390282681510110848
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- NII論文ID
- 10012630426
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- NII書誌ID
- AN00189163
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- ISSN
- 21861579
- 00215163
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
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- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可