Clark M P A, Waddell A
Department of ENT, Great Western Hospital, Swindon, UK.
Ann R Coll Surg Engl. 2004 Nov;86(6):411-2. doi: 10.1308/147870804632.
In the consent of patients for tonsillectomy, the risk of returning to theatre for control of postoperative bleeding may be determined from data provided on Hospital Episode Statistics (HES) provided by the Department of Health website.
HES data for England from 1998-2002 were used. The numbers of tonsillectomies and of surgical arrest of post-tonsillectomy haemorrhage were considered for children and adults.
Of 220,497 tonsillectomies performed over the 4-year period, 1804 (0.82%) returned to theatre for control of bleeding. However, this was 3.87 times more likely in adults than children (P <0.0001).
Adults are nearly four times more likely than children to require surgery for the arrest of post-tonsillectomy haemorrhage.
在患者同意进行扁桃体切除手术时,术后出血需返回手术室进行处理的风险可根据英国卫生部网站提供的医院事件统计数据(HES)来确定。
使用了1998 - 2002年英格兰的HES数据。对儿童和成人的扁桃体切除手术数量以及扁桃体切除术后出血的手术止血情况进行了分析。
在这4年期间进行的220497例扁桃体切除手术中,有1804例(0.82%)返回手术室进行止血处理。然而,成人出现这种情况的可能性是儿童的3.87倍(P <0.0001)。
成人因扁桃体切除术后出血而需要进行手术止血的可能性几乎是儿童的四倍。