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目前对血友病患儿拔牙的术前准备,麻醉方法,全身和局部止血方法尚无统一的意见。作者对36例血友患儿(5—14岁)拔牙60颗的结果进行了研究。所有患儿均有不同部位口腔粘膜出血,其中8人中等贫血(红细胞300万～350万/毫米~3),4人严重贫血(红细胞180万～220万/毫米~3)。所有患儿就诊后即注射6-氨基己酸(0.1克/公斤)。平均每名患儿在治疗期间,注入6-氨基己酸11.3克和抗血友病血浆1144毫升。用2%普鲁卡因做局麻,未见从注射针刺入点发生出血现象。
At present, there is no unified opinion on preoperative preparation, anesthesia method, systemic and local hemostasis in children with hemophilia. The author of 36 children with hemophilia (5-14 years old) 60 teeth extraction results were studied. All children had different parts of oral mucosal hemorrhage, of which 8 were moderate anemia (erythrocytes 3000000 ~ 3500000 / mm ~ 3), 4 were severe anemia (erythrocytes 1.8 million ~ 2.2 million / mm ~ 3). All infants were injected with 6-aminocaproic acid (0.1 g / kg). An average of 11.3 grams of 6-aminocaproic acid and 1144 ml of antihemophilic plasma were injected per child during treatment. With 2% procaine do local anesthesia, no bleeding from the injection needle puncture point occurred.