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항혈소판제를 투여받는 환자의 치과치료

Dental treatment of the patient with antiplatelet agent

대한치과의사협회지 2019년 57권 10호 p.606 ~ 612
박홍주 (  ) - 전남대학교 치과대학 구강악안면외과

Abstract


Antiplatelet agent is administered to the patients who have ischemic heart disease, transient cerebral infarction, as well as hypertension, etc. Antiplatelet agent prevents thromboembolism by inhibition of platelet aggregation by various mechanism. Due to that reason, patient who administered antiplatelet agent has bleeding tendency. Surgeon does not want to make a complication by bleeding during and after operation, and want to stop taking antiplatelet agent. However, It is very dangerous for the patient to stop antiplatelet agent. Local bleeding as a complication after operation is considered minor one, whereas thromboembolism is life threatening serious complication. Most dental intervention can be performed without withdrawal of antiplatelet agent. Dental intervention should be limited area, and surgeon should do active bleeding control.

키워드

antiplatetlet agent; bleeding tendancy; dental treatment
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