[Prospective evaluation of the risk of hemorrhage. Measures for the prevention of postoperative bleeding in dental surgical procedures].
The authors concern themselves with the problem of a possible prospective hemorrhage. The history of the patients proved to be the most efficient means to prophylaxis: From 250 patients, seven had histories of hemorrhages, mainly after tooth extractions. In the most prominent case, hematologic examination showed a hemophilia A, which was unknown to the patient. Examination of the family uncovered another case of this disease. Two cases could be interpreted as caused by medication. Preopertive selection uncovered only one patient with abnormal Quick value. Practical instruction for pre-, intra-, and postoperative prophylaxis against bleeding may contribute to reduce unexpected and life endangering hemorrhages to minimum.
D000293:Adolescent; D000328:Adult; D000368:Aged; D001772:Blood Cell Count; D001780:Blood Coagulation Tests; D001792:Blood Platelets; D005260:Female; D006467:Hemophilia A / Q000150:complications; D006470:Hemorrhage / Q000517:prevention & control*; D006801:Humans; D007571:Jaw Diseases / Q000601:surgery*; D008297:Male; D008487:Medical History Taking; D008875:Middle Aged; D009059:Mouth Diseases / Q000601:surgery*; D011183:Postoperative Complications / Q000517:prevention & control*; D011446:Prospective Studies; D014076:Tooth Diseases / Q000601:surgery; D014081:Tooth Extraction
Die prospektive Erfassung des Blutungsrisikos. Massnahmen zur Nachblutungsprophylaxe bei mundchirurgischen Eingriffen