儿童腺样体切除术后原发性出血原因分析及治疗  

Causes and Treatment of Immediate Bleeding after Pediatric Adenoidectomy

作　　者：孙欣[1] 王瑾[1] 柳斌[1] 王鑫启[1] 季文樾[1] 

机构地区：[1]中国医科大学附属盛京医院耳鼻咽喉科,沈阳110004

出　　处：《中国医科大学学报》2012年第9期841-843,共3页Journal of China Medical University

摘　　要：目的探讨儿童腺样体切除术后原发性出血的原因及治疗方法。方法回顾性分析2007年1月至2008年12月在中国医科大学附属盛京医院耳鼻咽喉科行腺样体切除术患儿1523例的临床资料,统计术后原发性出血患儿病例资料,分析其发生原因并总结治疗方法。结果 1523例患儿中,共8例发生术后原发性出血,其中2例重新全麻止血,6例前鼻孔填塞高膨胀止血海绵止血,治疗后无再次出血。结论儿童腺样体切除术后原发性出血主要原因有局部慢性炎症影响止血效果,手术止血不充分及创面过深,前鼻孔填塞高膨胀止血海绵及再次全麻止血是有效的止血方法。Objective To describe the post-operative hemorrhage after adenoidectomy in children,and identify risk factors for this complication and discuss the treatment.Methods Children who underwent adenoidectomy at Shengjing Hospital of China Medical University between January 2007 and December 2008 were selected for this study.Presence of post-operative hemorrhage was recorded and analyzed.Results Of the 1 523 analyzed cases,a total of 8 patients had post-operative hemorrhage,2 cases received electrocautery under anaesthesia and another 6 cases nasal packing.No child had rehaemorrhagia after treatment.Conclusion Local inflammation,deficient hemostasis and immoderate ravage were the major causes of primary hemorrhage.Nasal packing and electrocautery under anaesthesia can control bleeding efficiently.

关 键 词：儿童 腺样体切除 手术后原发性出血 治疗 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]