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Hemostasis management of tooth extraction in a patient with Bernard–Soulier syndrome and a severe bleeding tendency: A case reportHemostasis management of tooth extraction in a patient with Bernard–Soulier syndrome and a severe bleeding tendency: A case report |
"/Mishima, Sayaka/"Mishima, Sayaka ,
"/Nakao, Kazumasa/"Nakao, Kazumasa ,
"/Ikeno, Masayuki/"Ikeno, Masayuki ,
"/Bessho, Kazuhisa/"Bessho, Kazuhisa
27
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4
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, pp.525
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528 , 2015-07 , Elsevier Japan KK
ISSN:2212-5558
内容記述
Bernard–Soulier syndrome is characterized by thrombocytopenia, giant platelets, and severe bleeding; although bleeding varies widely, it is usually evident from childhood and requires particular attention during surgeries. We extracted a fractured tooth and performed hemostasis management in a male patient with a Bernard–Soulier syndrome-related severe bleeding tendency after intracerebral hemorrhage. The preoperative platelet count was abnormally low (7 × 10[9]/L). Normal coagulability was observed. After intravenous hydrocortisone administration, he received 10 human leukocyte antigen-matched platelet units. The extraction sites were packed with gelatine sponges and a splint was used for hemostasis. Excellent hemostasis was achieved with minimal human leukocyte antigen-matched platelets.
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http://repository.kulib.kyoto-u.ac.jp/dspace/bitstream/2433/207519/1/j.ajoms.2014.09.010.pdf