Department of Anaesthesiology, School of Medicine, Kyung Hee University, Seoul, Korea.
Eur Arch Otorhinolaryngol. 2012 Mar;269(3):977-81. doi: 10.1007/s00405-011-1697-5. Epub 2011 Jul 16.
Postoperative bleeding is the most frequent surgical complication after tonsillectomy and may be associated with increased mortality rate. We have, therefore, analyzed factors associated with and prognostic for bleeding after tonsillectomy. The 2,254 patients who underwent tonsillectomy under general anesthesia at our institution from January 2005 to December 2009 were divided into bleeding and non-bleeding groups, and their demographic and clinical characteristics were compared. Age, administration of steroid immediately after general anesthesia, absence of administration of non-steroidal anti-inflammatory drugs, and the surgeon's experience were significantly associated with bleeding. In contrast, gender, chief complaints, performance of associated surgery, and type of anesthetic were not associated with postoperative bleeding. Hemorrhage after tonsillectomy was associated with the administration of steroids and with the non-administration of non-steroidal anti-inflammatory drugs.
术后出血是扁桃体切除术后最常见的手术并发症，可能与死亡率增加有关。因此，我们分析了与扁桃体切除术后出血相关的因素及其预后。2005 年 1 月至 2009 年 12 月，在我院接受全身麻醉下扁桃体切除术的 2254 例患者被分为出血组和非出血组，比较了他们的人口统计学和临床特征。年龄、全身麻醉后立即给予类固醇、未给予非甾体抗炎药以及外科医生的经验与出血显著相关。相比之下，性别、主要诉求、相关手术的执行情况以及麻醉类型与术后出血无关。扁桃体切除术后出血与类固醇的使用以及非甾体抗炎药的未使用有关。
