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Surgery in the Hemophiliac Patient
THOMAS J. TARNAY, MD;
MABEL M. STEVENSON, MD;
BERNARD ZIMMERMANN, MD, PhD
AMA Arch Surg. 1966;93(2):271-285.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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WITH ADVANCES in the understanding of true hemophilia and the availability of concentrated clotting factor extracts, the hazards of surgery in patients with this bleeding disorder have been significantly reduced. Surgical experiences with seven hemophiliacs are presented illustrating the clinical course, vicissitudes of management, and modes of treatment.
Report of Cases
CASE 1.
—A 5-year-old severely affected hemophiliac boy was admitted with bleeding from two carious teeth which had been drilled by his dentist 20 hours previously.
There were 250 cc of fresh blood and 100 cc of fresh frozen plasma given initially followed by 250 cc fresh or lyophilized plasma daily for four days. The bleeding did not recur.
Comment:
The problem of dental caries is ever present in the hemophiliac. The situation presents the opportunity for a unique method of coagulation control. Since a hematoma cannot form, replacement therapy need only be titered against the presence of bleeding.
. . . [Full Text PDF of this Article]
Author Affiliations
MORGANTOWN, WVA
From the departments of surgery and pathology, West Virginia University School of Medicine, Morgantown.
Footnotes
Read before the 23rd Annual Meeting of the Central Surgical Association, Chicago, March 3-5, 1966.
Reprint requests to West Virginia University Medical Center, Morgantown, WVa 26506 (Dr. Tarnay).
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