扁桃体切除术中的止血
Hemostasis in Tonsillectomy.
作者信息
Mitchell Ryan M, Parikh Sanjay R
机构信息
Department of Otolaryngology-Head and Neck Surgery, University of Washington, 1959 NE Pacific St, Box 256515, Seattle, WA 98195, USA.
Department of Otolaryngology-Head and Neck Surgery, University of Washington, 1959 NE Pacific St, Box 256515, Seattle, WA 98195, USA; Division of Pediatric Otolaryngology-Head and Neck Surgery, Seattle Children's Hospital, 4800 Sand Point Way Northeast, OA.9.329, Seattle, WA 98105, USA.
出版信息
Otolaryngol Clin North Am. 2016 Jun;49(3):615-26. doi: 10.1016/j.otc.2016.03.008.
Tonsillectomy is a commonly performed procedure with an accepted risk of posttonsillectomy hemorrhage (PTH) approaching 5%, but catastrophic effects of hemorrhage are exceedingly rare. A variety of surgical techniques and hemostatic agents have been used to reduce the rate of hemorrhage, although none eliminate the risk. Numerous patient, surgical, and postoperative care factors have been studied for an association with PTH. The most consistent risk factors for PTH seem to be patient age and coagulopathies. Surgeon skill and surgical technique are most consistently associated with primary PTH.
扁桃体切除术是一种常见的手术，扁桃体切除术后出血（PTH）的公认风险接近5%，但出血的灾难性后果极为罕见。尽管没有一种方法能消除风险，但已使用多种手术技术和止血剂来降低出血率。已经对众多患者、手术及术后护理因素与PTH的关联进行了研究。PTH最一致的风险因素似乎是患者年龄和凝血障碍。外科医生的技能和手术技术与原发性PTH的关联最为一致。
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