遺伝性血管神経性浮腫患者の抜歯経験 Experience with teeth extractions in a patient who had hereditary angioneurotic edema

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著者

    • 渡邉 賀子 WATANABE Yoshiko
    • 浜松医科大学医学部歯科口腔外科学講座 Department of Dentistry and Oral and Maxillofacial Surgery, Hamamatsu University School of Medicine
    • 加藤 文度 KATOU Fuminori
    • 浜松医科大学医学部歯科口腔外科学講座 Department of Dentistry and Oral and Maxillofacial Surgery, Hamamatsu University School of Medicine
    • 大浦 健宏 [他] OURA Takehiro
    • 浜松医科大学医学部歯科口腔外科学講座 Department of Dentistry and Oral and Maxillofacial Surgery, Hamamatsu University School of Medicine
    • 田中 秀生 TANAKA Hideo
    • 浜松医科大学医学部歯科口腔外科学講座 Department of Dentistry and Oral and Maxillofacial Surgery, Hamamatsu University School of Medicine
    • 松下 文彦 MATSUSHITA Fumihiko
    • 浜松医科大学医学部歯科口腔外科学講座 Department of Dentistry and Oral and Maxillofacial Surgery, Hamamatsu University School of Medicine
    • 橋本 賢二 HASHIMOTO Kenji
    • 浜松医科大学医学部歯科口腔外科学講座 Department of Dentistry and Oral and Maxillofacial Surgery, Hamamatsu University School of Medicine

抄録

Hereditary angioneurotic edema (HANE) is a rare disease caused by functional disorder or reduction of Cl inhibitor. The disease is characterized by episodic localized edema of subcutaneous tissues or gastrointestinal or laryngeal mucosa caused by physical or mental stress. Fatal laryngeal edemamay be caused by dental treatment.<BR>We report the case of a patient with HANE who required teeth extraction.<BR>A female patient had edema of unknown origin of the extremities and face, and abdominal colic since she was in junior high school. In addition, she hadhad laryngeal edema after tooth extraction. Her son also manifested the symptoms. HANE was diagnosed on further examination.<BR>To prevent angioedema, we injected tranexamic acid and a C1 esterase inhibitor before teeth extraction. Treatment was done after endotracheal intubation and tracheostomy. No angioedema was caused by teeth extraction.<BR>Teeth extraction was safely performed in a patient with HANE who was given tranexamic acid and a C1 esterase inhibitor to prevent angioedema.

収録刊行物

  • 日本口腔外科学会雑誌  

    日本口腔外科学会雑誌 53(1), 38-41, 2007-01-20 

    Japanese Society of Oral and Maxillofacial Surgeons

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各種コード

  • NII論文ID(NAID)
    10018858613
  • NII書誌ID(NCID)
    AN00189163
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    00215163
  • NDL 記事登録ID
    8659365
  • NDL 雑誌分類
    ZS44(科学技術--医学--歯科学・口腔外科学)
  • NDL 請求記号
    Z19-145
  • データ提供元
    CJP書誌  CJP引用  NDL  J-STAGE 
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