Robb P J, Ewah B N
Department of Otolaryngology, Epsom and St Helier University Hospitals NHS Trust, Epsom, UK.
J Laryngol Otol. 2011 Oct;125(10):1049-52. doi: 10.1017/S0022215111001435. Epub 2011 Jul 21.
To audit a protocol for elective, day-case, paediatric ENT surgery, previously reported as enabling an overall post-operative nausea and vomiting rate of 2 per cent and a discharge rate of 100 per cent on the day of surgery.
The audit included 91 children (45 boys and 46 girls) aged three to 14 years. Forty-seven children underwent tonsillectomy, 36 adenotonsillectomy and eight tonsillectomy with postnasal space examination; indications included recurrent tonsillitis, tonsillitis and nasal block, upper airway obstruction, and a combination of upper airway obstruction and recurrent tonsillitis.
No post-operative nausea or vomiting was recorded in any of the children on the day of surgery, and no discharges were delayed. The reactionary haemorrhage rate was 1 per cent and the secondary haemorrhage rate 3.3 per cent.
These findings have implications for the safe same-day discharge of children following tonsillectomy.
审核一项关于择期日间小儿耳鼻喉科手术的方案，该方案先前报告显示术后总体恶心呕吐率为2%，手术当天出院率为100%。
该审核纳入了91名3至14岁的儿童（45名男孩和46名女孩）。47名儿童接受了扁桃体切除术，36名接受了腺样体扁桃体切除术，8名接受了扁桃体切除术后鼻后间隙检查；手术指征包括复发性扁桃体炎、扁桃体炎和鼻塞、上气道阻塞，以及上气道阻塞合并复发性扁桃体炎。
手术当天没有儿童出现术后恶心或呕吐，也没有出院延迟的情况。反应性出血率为1%，继发性出血率为3.3%。
这些结果对扁桃体切除术后儿童的安全同日出院具有启示意义。
