Hemorragia postoperatoria en cirugía bucofacial
Fecha
2012-06-15
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Universidad de Guayaquil. Facultad Piloto de Odontología
Resumen
Es uno de los problemas más comunes que nos puede ocurrir en el consultorio dental y que si no se controla puede dar lugar a trastornos serios que pueden afectar a la vida de nuestro paciente. Ante ésta circunstancia debemos preguntarnos en primer lugar el por qué sangra y en segundo lugar qué hacer.
¿Por qué sangra mi paciente después del tratamiento odontológico?
Es una pregunta que se hacen muchos profesionales tras el tratamiento dental o periodontal cuando se han respetado todos los preceptos anamnésicos, exploratorios y de historia clínica junto a una actuación profesional escrupulosa: ¿Qué pudo ocurrir?
Se interrogó al paciente sobre todos sus antecedentes familiares y personales? Este apartado, que debe haber sido preguntado en el momento de realizar la historia clínica, nos permite descartar una buena parte de patologías congénitas y de desarrollo.
• ¿Ante la referencia a antecedentes de tendencia a la hemorragia, se hicieron todos los estudios analíticos adecuados para definir la identidad de la patología?
• ¿Nos identificó adecuadamente el paciente la medicación que sigue, aportándonos los informes especializados?
• ¿Se fue cuidadoso, en el manejo de los tejidos periodontales y de la mucosa junto a unas maniobras quirúrgicas escrupulosas?
• ¿Se hizo la adecuada hemostasia, ligadura de vasos sangrantes, etc., durante las maniobras quirúrgicas orales?
La elaboración de una historia clínica ordenada y detallada debe contener desde antecedentes familiares de enfermedades hemorrágicas hasta antecedentes personales de accidentes hemorrágicos como la hemorragia médica más común, que es la epíxtasis o hemorragia nasal. También, el
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antecedente de un sangrado excesivo tras alguna extracción dentaria; o la referencia a heridas banales que sangraron de forma inusual en el tiempo; o metrorragias en la etapa adolescente en chicas aparentemente sanas.
It is one of the most common problems that can happen to us in the dental office and if left unchecked can lead to serious disorders that can affect the lives of our patient. Given this circumstance we must first ask why bleeding and secondly do. Why my patient bleeding after dental treatment ? Is a question that many professionals do after dental or periodontal treatment when they have complied with all the anamnestic , clinical history and exploration precepts with scrupulous performance : What could happen ? The patient is asked about all their family and personal history ? This section , which should have been asked at the time of the clinical history, allows us to discard much of congenital and developmental disorders . • Are Given the reference to a history of bleeding tendency , all suitable analytical studies were made to determine the identity of the disease ? • Have we adequately identified the following patient medication , giving us specialized reports? • Have you been careful in the management of periodontal tissues and mucosa with a scrupulous surgical maneuvers ? • Is the proper hemostasis, ligation of bleeding , etc. It became vessels . , During oral surgical procedures ? The development of an orderly and detailed history should contain from a family history of bleeding disorders to personal history of bleeding accidents as the most common medical bleeding, which is the epistaxis or nosebleed. Also , the 2 history of excessive bleeding after a tooth extraction , or the reference to trivial wounds bled so unusual at the time, or menorrhagia in the adolescent stage in apparently healthy women.
It is one of the most common problems that can happen to us in the dental office and if left unchecked can lead to serious disorders that can affect the lives of our patient. Given this circumstance we must first ask why bleeding and secondly do. Why my patient bleeding after dental treatment ? Is a question that many professionals do after dental or periodontal treatment when they have complied with all the anamnestic , clinical history and exploration precepts with scrupulous performance : What could happen ? The patient is asked about all their family and personal history ? This section , which should have been asked at the time of the clinical history, allows us to discard much of congenital and developmental disorders . • Are Given the reference to a history of bleeding tendency , all suitable analytical studies were made to determine the identity of the disease ? • Have we adequately identified the following patient medication , giving us specialized reports? • Have you been careful in the management of periodontal tissues and mucosa with a scrupulous surgical maneuvers ? • Is the proper hemostasis, ligation of bleeding , etc. It became vessels . , During oral surgical procedures ? The development of an orderly and detailed history should contain from a family history of bleeding disorders to personal history of bleeding accidents as the most common medical bleeding, which is the epistaxis or nosebleed. Also , the 2 history of excessive bleeding after a tooth extraction , or the reference to trivial wounds bled so unusual at the time, or menorrhagia in the adolescent stage in apparently healthy women.
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CIRUGIA BUCO-MAXILOFACIAL, HEMORRAGIA BUCAL