摘要
目的探讨扁桃体术后出血分度与出血原因之间的关系及预防术后出血的措施。方法对476例行扁桃体切除术的病例进行了回顾性分析,采用J.w indfuhr及M.SeeHafer出血分度法将扁桃体术后出血分为五度。结果扁桃体术后出血37例,发生率7.77%。1度出血14例,发生率2.94%。2度出血11例,发生率2.31%。3度出血7例,发生率1.47%。4度出血5例,发生率1.05%。无5度出血者。原因为术中止血不彻底,术后咽部活动过度,咳嗽,创面白膜脱落,缝扎血管线脱落,扁桃体残体遗留,创面感染,亚临床型血友病。结论按扁桃体术后出血程度分类使术后出血量具有可比性,进一步探讨各度出血的原因,便于采取相应措施,对预防术后出血有指导意义。
Objective To explore the relationship between the magnitude and causes of post-tonsillectomy haemorrhage as well as the measures to prevention. Methods We evaluated 476 patients who presented post-tonsillectomy haemorrhage. We classified the post-tonsillectomy haemorrhage into 5 degrees. Results In this series, 37 patients had bleeding following tonsillectomy and the occurring rate was 7.77%, in whom 14 patients had grade 1 bleeding （2.94%）, 11 had grade 2 bleeding （2.31%）, 7 had grade 3 bleeding （ 1.47% ） ,5 had grade 4 bleeding （ 1.05% ） , and no patient had grade 5 bleeding. The causes of the haemorrhage included poor hemostasis during operation, overactivity of the pharynx after operation, cough, tonsillar tag remnant, infection of wound surface, hemophilia, etc. Conclusion The classification of bleeding volume will facilitate finding the causes of bleeding and hence adopting relevant preventive protocols.
出处
《实用医院临床杂志》
2006年第3期32-33,共2页
Practical Journal of Clinical Medicine
关键词
扁桃体切除术
术后出血
出血程度
Tonsillectomy
Post-tonsillectomy haemorrhage
Magnitude of haemorrhage
