지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 343 - 350 (8page)
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초록· 키워드
오류제보하기
Objectives: The aims of this study were to determine the effectiveness of local compression in patients presenting to the emergency room with intraoral bleeding and to identify when complex haemostatic measures may be required. Materials and Methods: Five hundred forty patients who had experienced intraoral haemorrhage were retrospectively reviewed. The outcome variable was the haemostasis method used, i.e., simple (local compression with gauze) or complex (an alternative method after local compression has failed). Predictor variables were sex, age, American Society of Anesthesiologists (ASA) class, hepatic cirrhosis, bleeding disorder, use of antithrombotic agents, and site/cause of haemorrhage. Results: The mean patient age was 48.9±23.9 years, 53.5% were male, 42.8% were ASA class II or higher, and 23.7% were taking antithrombotic agents. Local compression was used most often (68.1%), followed by local haemostatic agents, sutures, systemic tranexamic acid or blood products, and electrocautery. The most common site of bleeding was the gingiva (91.7%), and the most common cause was tooth extraction (45.7%). Risk factors for needing a complex haemostasis method were use of antithrombotic agents (odds ratio 2.047, P=0.009) and minor oral surgery (excluding extraction and implant procedures; odds ratio 6.081, P=0.001). Conclusion: A haemostasis method other than local compression may be needed in patients taking antithrombotic agents or having undergone minor oral surgery.
목차
등록된 정보가 없습니다.
참고문헌 (29)
참고문헌 신청
Ziffer AM / 1957 / Profound bleeding after dental extractions during dicumarol therapy / N Engl J Med 256:351~353
Cannon PD / 2003 / Minor oral surgical procedures in patients on oral anticoagulants--a controlled study / Aust Dent J 48:115~118
Bouloux GF / 2009 / Massive hemorrhage during oral and maxillofacial surgery : ligation of the external carotid artery or embolization / J Oral Maxillofac Surg 67:1547~1551
Bajkin BV / 2009 / Randomized, prospective trial comparing bridging therapy using low-molecular-weight heparin with maintenance of oral anticoagulation during extraction of teeth / J Oral Maxillofac Surg 67:990~995
Costa FW / 2013 / Local hemostatic measures in anticoagulated patients undergoing oral surgery : a systematized literature review / Acta Cir Bras 28:78~83
Cannon PD / 2003 / Minor oral surgical procedures in patients on oral anticoagulants--a controlled study / Aust Dent J 48:115~118
Bouloux GF / 2009 / Massive hemorrhage during oral and maxillofacial surgery : ligation of the external carotid artery or embolization / J Oral Maxillofac Surg 67:1547~1551
Bajkin BV / 2009 / Randomized, prospective trial comparing bridging therapy using low-molecular-weight heparin with maintenance of oral anticoagulation during extraction of teeth / J Oral Maxillofac Surg 67:990~995
Costa FW / 2013 / Local hemostatic measures in anticoagulated patients undergoing oral surgery : a systematized literature review / Acta Cir Bras 28:78~83
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