低温等离子儿童扁桃体切除术后出血9例分析  

Analysis of postoperative hemorrhage after low-temperature plasma children tonsillectomy in 9 cases

作　　者：危高生[1] 李育广[1] 

机构地区：[1]解放军第一八四医院耳鼻喉头颈外科,335000

出　　处：《中国实用医药》2016年第26期48-49,共2页China Practical Medicine

摘　　要：目的探讨低温等离子儿童扁桃体切除术后出血的原因及预防方法。方法 342例行低温等离子扁桃体切除术患儿中,9例发生术后出血,分析出血原因,总结预防方法。结果 9例发生术后出血患儿中,原发性出血1例,继发性出血8例;扁桃体上极部出血2例,扁桃体下极部出血7例;小量出血7例,中量出血2例。经不同的方式处理后均痊愈出院。结论低温等离子儿童扁桃体切除术后出血与周围组织损伤过多、术中止血不彻底、术后感染及术后饮食不当有关,一旦发生中量出血,须果断采取全身麻醉下手术止血。Objective To investigate causes and prevention measures of postoperative hemorrhage after low-temperature plasma children tonsillectomy. Methods Among 342 children receiving low-temperature plasma tonsillectomy, there were 9 cases with postoperative hemorrhage. Their hemorrhage causes were analyzed to summarize prevention measures. Results Among 9 cases with postoperative hemorrhage, there were 1 case with primary hemorrhage and 8 cases with secondary hemorrhage; 2 cases with tonsil upper pole hemorrhage and 7 cases with tonsil lower pole hemorrhage; 7 cases with small hemorrhage and 2 cases with median hemorrhage. All cases were cured had discharged by different treatment measures. Conclusion Postoperative hemorrhage after low-temperature plasma children tonsillectomy is related with too much surrounding tissue damage, incomplete intraoperative hemostasis, postoperative infection and inappropriate diet. Median hemorrhage requires immediate surgical hemostasis under general anesthesia.

关 键 词：低温等离子 扁桃体切除术 儿童 手术后出血 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]