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舌部挫裂伤合并血友病B一例

CHINESE JOURNAL OF CLINICIANS(ELECTRONIC EDITION)(2011)

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Abstract
患者男,46 岁,因工作时被机器击中左侧面部咬伤舌尖,出血,当时无意识障碍,无恶心、呕吐,急入我院口腔科门诊行清创缝合并给予抗炎、止血处理.术后第4 天舌尖部创区再次出现渗血,局部形成血疱,门诊以"舌尖部裂伤清创缝合术后伴出血"收入院.查体见舌尖部一长约1.5 cm 裂伤,已清创缝合,缝线在位,无松脱,部分创缘见渗血.前方可见一约0.5 cm ×0.5cm ×0.5 cm 大小血疱,表面呈紫色,质软.既往:6 岁时因"肠黏连"曾于外院行手术治疗,术后大出血,给予输血治疗;幼年、少年时皮肤、黏膜碰撞后出现瘀斑.
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