过敏性紫癜患者行扁桃体手术的围手术期处理  

The peri-operative cure of patients suffered allergic purpura before tonsillectomy

作　　者：甄宏韬[1] 刘立思[1] 刘秋润[1] 崔永华[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院耳鼻咽喉科,武汉430030

出　　处：《临床耳鼻咽喉科杂志》2002年第3期118-119,共2页Journal of Clinical Otorhinolaryngology

摘　　要：目的 :探讨过敏性紫癜患者行扁桃体切除术的围手术期处理方法。方法 :7例手术均选择在过敏性紫癜的缓解期、扁桃体的急性炎症控制后 3～ 4周进行 ,口服抗组胺药及降低血管渗透性药物。术前、术后常规抗炎治疗。结果 :7例患者经正确的处理 ,术中、术后均无明显出血 ,痊愈出院。结论 :在过敏性紫癜的缓解期、扁桃体的急性炎症控制后进行手术 ,避免各种可疑的诱因 ,围手术期给予口服抗组胺药、抗炎及降低血管渗透性药物 ,可有效防止术中。Objective:To explore the peri operative cure of patients suffered allergic purpura before tonsillectomy. Method:To review the perioperative cure of 7 cases operated on tonsillectomy in retrospect.Result:7 cases didn't bleed during peri operation and were discharged from hospital after recovery. Conclusion:The operation was arranged in allergic purpura catabasis and the acute inflammation controlled.The patients should avoid to contact all kinds of doubtful predisposition and were administered antihistamin,anti inflammatory agent,drugs decreasing capillary permeability during peri operation.

关 键 词：过敏性紫癜 扁桃体切除术 围手术期 出血 

分 类 号：R766.9[医药卫生—耳鼻咽喉科] R554.6[医药卫生—临床医学]