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150例患者(男85,女65),年龄35～90岁。其中血管疾病70例,动脉纤维化26例,血管疾病和动脉纤维化20例,缺血性心脏病29例,静脉血栓栓塞5例。所有患者均采用香豆素抗凝治疗,拔牙前不停用或减量治疗,共拔牙359颗,全部病例用3％卡波卡因局麻。 根据局部止血方法的种类将患者分为3组,每组50例。第一组用明胶海绵加缝合,第二组用明胶海绵、纤维蛋白胶加缝合,第三组用明胶海绵加缝合,辅以止血环酸液漱口。拔牙后禁食2h,24h内不用漱口液
150 patients (male 85, female 65), aged 35 to 90 years. 70 cases of vascular disease, arterial fibrosis in 26 cases, vascular disease and arterial fibrosis in 20 cases, ischemic heart disease in 29 cases, 5 cases of venous thromboembolism. All patients were treated with coumarin anticoagulant therapy before tooth extraction or non-stop treatment, a total of 359 teeth extraction, all cases of local anesthesia with 3% carbocaine. Patients were divided into 3 groups according to the type of local hemostasis method, 50 cases in each group. The first group with gelatin sponge plus suture, the second group with gelatin sponge, fibrin glue plus suture, the third group with gelatin sponge plus suture, supplemented with hemostatic acid gargle. After tooth extraction fasting 2h, 24h without gargle