Zielnik-Jurkiewicz Beata, Rakowska Magdalena
Oddział Otolaryngologiczny, SZPZOZ im. prof. J. Bogdanowicza w Warszawie.
Otolaryngol Pol. 2005;59(1):71-6.
Hypertophy of pharyngeal tonsil and palatine tonsils is the most common cause of nasal obstruction in children. When the obstruction of the nasopharynx causes recurrent infections of upper respiratory tract, chronic otitis media secretoria or sleep apnoea, then adenoidectomy with or without tonsillectomy is indicated. The purpose of the study was analysis of postoperative hemorrhage after adenoidectomy with or without tonsillectomy. The influent of frequent infections of upper respiratory tract, disorders of blood clotting, chronic diseases, seasons of the year, operation time and general anesthesia on postoperative hemorrhage was estimated. A group of 1184 children after adenoidectomy with or without tonsillectomy was studied. Postoperative hemorrhage occurred in 59 children (4.98%). Early bleeding was frequently occurred after adenotonsillectomy and late bleeding after adenoidectomy. There was relationship between the time of general anesthesia and incidences of postoperative bleeding. Food or inhalation allergy, recurrent infections of upper respiratory tract and male sex are risk factors of postoperative hemorrhage after adenoidectomy with or without tonsillectomy.
咽扁桃体和腭扁桃体肥大是儿童鼻塞最常见的原因。当鼻咽部阻塞导致上呼吸道反复感染、慢性分泌性中耳炎或睡眠呼吸暂停时，则需行腺样体切除术，可同时或不同时行扁桃体切除术。本研究的目的是分析腺样体切除术（可同时或不同时行扁桃体切除术）术后出血情况。评估了上呼吸道反复感染、凝血功能障碍、慢性疾病、一年中的季节、手术时间和全身麻醉对术后出血的影响。对一组1184例行腺样体切除术（可同时或不同时行扁桃体切除术）的儿童进行了研究。59名儿童（4.98%）发生了术后出血。早期出血常在腺样体扁桃体切除术后频繁发生，晚期出血则在腺样体切除术后出现。全身麻醉时间与术后出血发生率之间存在关联。食物或吸入性过敏、上呼吸道反复感染和男性是腺样体切除术（可同时或不同时行扁桃体切除术）术后出血的危险因素。
