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
- 저널정보
- 대한치과마취과학회 Journal of dental anesthesia and pain medicine Journal of dental anesthesia and pain medicine 제13권 제4호
- 발행연도
- 2013.1
- 수록면
- 203 - 207 (5page)
이용수
초록· 키워드
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Aplastic anemia (AA) is a serious hematologic disease characterized by hypocellular bone marrow and deficient production of erythrocytes, granulocytes and platelets. Serious complications such as uncontrolled bleeding and bacteremia can occur. A case of severe AA are presented with dental considerations. A 4-year-old boy had been referred from Seoul National University Hospital for dental examination before the hematopoietic stem cell transplantation (HSCT). Treatments were planned under general anesthesia, due to the poor compliance. Following medical consult, dental treatments were performed after platelet transfusion and antibiotic prophylaxis. Postoperatively, neither significant bleeding nor complictation was observed. On the time of the treatment planning. the anesthesiologist and dentist should perform a complete hematological assessment. It is imperative not only platelet counts but also other leukocyte counts are under safe boundaries. It is mandatory to follow strict aseptic precautios for all anesthetic and surgical maneuvers. In severe thrombocytopenic patients, platelet transfusion should be considered. Also, it is recommended to establish a good oral hygiene.
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참고문헌 (15)
참고문헌 신청
The International Agranulocytosis and Aplastic Anemia Study / 1987 / Incidence of aplastic anemia: the relevance of diagnostic criteria / Blood 70:1718~1721
Marsh JC / 2009 / Guidelines for the diagnosis and management of aplastic anaemia / Br J Haematol 147:43~70
Young NS / 2006 / Current concepts in the pathophysiology and treatment of aplastic anemia / Blood 108:2509~2519
Davies JK / 2007 / An update on the management of severe idiopathic aplastic anaemia in children / Br J Haematol 136:549~564
McWhorter AG / 1991 / Conservative management for a patient with aplastic anemia without use of blood products. Case report / Pediatr Dent 13:224~226
Marsh JC / 2009 / Guidelines for the diagnosis and management of aplastic anaemia / Br J Haematol 147:43~70
Young NS / 2006 / Current concepts in the pathophysiology and treatment of aplastic anemia / Blood 108:2509~2519
Davies JK / 2007 / An update on the management of severe idiopathic aplastic anaemia in children / Br J Haematol 136:549~564
McWhorter AG / 1991 / Conservative management for a patient with aplastic anemia without use of blood products. Case report / Pediatr Dent 13:224~226
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