혈우병A와 혈우병B 환자의 전신마취 하 치과치료

국문 초록 (Abstract)

중등도의 혈우병 A 환아와 중증의 혈우병 B 환아가 응고인자 투여 후 전신마취 하에 각각 매복 과잉치 발거술 및 다수 유치의 우식치료를 받았다. 이와 같이 혈우병 환자의 치과치료시에는 부족한 응고인자를 보충해주는 등의 응고인자 수준의 관리와 복잡한 의과적 처치 및 술 후 관리가 요구된다. 또한 치과치료 시 출혈을 유발되지 않도록 주의해야 하며 응급 상황등에 대비하여 국소적 지혈 방법 등을 숙지하고 있는 것이 필요하다.

다국어 초록 (Multilingual Abstract)

Hemophilia is an X-linked herediatry disorder. Hemophilia A is a defiency of factor VIII and hemophilia B (Christmas disease) is a deficiency of factor IX. The most widely used classification is based on plasma procoagulant levels, with people 〈1% factor defined as severe; 1 - 5% moderately severe; and 〉5% as mild.
A 7 years old boy visited our clinic with chief complaint of impacted supernumerary tooth. This boy had severe hemophilia A. With the previous ADVATE<SUP>®</SUP> injection and factor VIII replacement, Extraction of supernumerary tooth was successfully done under General anesthesia. A 9 years old boy referred from local clinic for dental caries treatment. This boy had severe hemophilia B. With the preparation of BeneFIX<SUP>®</SUP> injection, dental treatment was done successfully under general anesthesia.
It is often first detected by dental trauma. Since bleeding after dental treatment may cause severe or even fatal complications, people with hemophilia must be given special dental care. The treatment of the patients with either hemophilia A or hemophilia B involves the intravenous infusion to either control or prevent bleeding.

목차 (Table of Contents)

• Abstract
• Ⅰ. 서론
• Ⅱ. 증례
• Ⅲ. 총괄 및 고찰
• Ⅳ. 요약
• References