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Long-lasting wounds after tooth extraction
Introduction
Introduction After the tooth extraction, the wound has not healed for a long time, and the coagulation dysfunction is common.
Cause
Cause
Coagulopathy.
Examine
an examination
Related inspection
Determination of coagulation factor activity in oral endoscopic clotting factor activity (factor VIII: C, IX: C)
After the tooth extraction, the wound did not heal for a long time.
Diagnosis
Differential diagnosis
Symptoms of long-term unhealed wounds after tooth extraction need to be differentiated from the following symptoms:
Vascular hemophilia: is an inherited bleeding disorder. Its clinical features are bleeding tendency from childhood, prolonged bleeding time, and reduced platelet adhesion. Reduced platelet aggregation induced by ristocetin or lack of von willebrand factor (vWF) or abnormal molecular structure in non-aggregated plasma.
Vitamin K deficiency: Vitamin K plays an important role in the blood coagulation process. In the absence of vitamin K-dependent coagulation factors (thrombin causes VIIIX and X), these factors need to be involved in liver synthesis by vitamin K, released to the outside of the cell through the cell membrane, and spontaneous bleeding often occurs in severe cases.
Disseminated intravascular coagulation: a complex pathological process in the development of many diseases. Is a group of severe hemorrhagic syndrome. It is characterized by the occurrence of transient hypercoagulable state under certain pathogenic factors. Platelet aggregation and fibrin deposition form extensive microthrombus, followed by consumptive hypocoagulability, and secondary fibrinolysis. It is an acute type such as thromboembolism microcirculation disorder and hemolysis. The disease is dangerous. If you do not treat the quality in time, it can be life-threatening. After the tooth extraction, the wound did not heal for a long time.
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