Tarantino V, Cingolani M, Benzi L, Fortini P
Divisione di Otorinolaringologia, Istituto G. Gaslini, Genova, Italia.
Pediatr Med Chir. 1989 Nov-Dec;11(6):703-6.
The most common post-operative complication of adenotonsillectomy is an excessive bleeding. This problem persists although the laboratory investigations may exclude hemocoagulative anomalies and the anamnesis is able to show the presence or not of genetic factors or constitutional disease. Even if the surgical operation is performed in a technical proper way, the risk of bleeding is still present. Therefore we have valued new prospects of application in pediatric O.R.L. of a peptide fraction from bovine factor VIII. This compound has proved to be able to reduce the bleeding time. We valued the action of this drug compared with that of tranexamic acid and in comparison with the results obtained before treatment. Furthermore, we have also investigated the possibility of influence of this drug on haemocoagulative parameters and we have concluded that the drug does not show any effect on them.
腺样体扁桃体切除术后最常见的并发症是出血过多。尽管实验室检查可能排除血液凝固异常,且既往史能够显示是否存在遗传因素或体质性疾病,但这个问题依然存在。即使手术操作技术得当,出血风险仍然存在。因此,我们评估了牛因子VIII的一种肽片段在小儿耳鼻喉科应用的新前景。已证明该化合物能够缩短出血时间。我们评估了这种药物与氨甲环酸的作用,并与治疗前获得的结果进行了比较。此外,我们还研究了这种药物对血液凝固参数的影响可能性,得出的结论是该药物对这些参数没有任何影响。