Tranexamic acid in otorhinolaryngology e A contemporary review  

作　　者：Jordan Fuzi Gideon R.Budiono Catherine Meller Ian Jacobson 

机构地区：[1]Department of Otolaryngology,Head and Neck Surgery,Prince of Wales Hospital,New South Wales,Australia [2]Faculty of Medicine,University of New South Wales,Australia

出　　处：《World Journal of Otorhinolaryngology-Head and Neck Surgery》2021年第4期328-337,共10页世界耳鼻咽喉头颈外科杂志（英文）

摘　　要：Tranexamic acid(TXA)is an anti-fibrinolytic agent which has been proven beneficial in multiple surgical specialties where significant bleeding can occur.Whilst it has been widely available for over 40 years its use within Otorhinolaryngology is still limited.Operations in Otorhinolaryngology are particularly varied with some such as tonsillectomy having the potential for significant life threatening bleeding.Other operations are performed within small confined surgical fields and even small amounts of bleeding can significantly detriment surgical field and increase technical difficulty and operative time.This review evaluated the current literature on the benefits of tranexamic acid within the field of Otorhinolaryngology and Head and Neck Surgery.Overall TXA was demonstrated to be a safe drug with no major adverse effects including thromboembolic events reported in any study.It has been shown to be of particular benefit in rhinology by improving surgical field,reducing operative time and reducing postoperative swelling and ecchymosis.The benefit in tonsillectomy is less clear and further studies are required to evaluate its potential use in the reduction of post tonsillectomy haemorrhage rates.

关 键 词：Tranexamic acid OTORHINOLARYNGOLOGY SURGERY BLEEDING 

分 类 号：R969[医药卫生—药理学]