Duvekot Anne, van Heesch Gwen, Veder Laura
Department of Otorhinolaryngology and head and neck surgery, Erasmus Medical Center, Sophia Children's Hospital, 3015 GD Rotterdam, The Netherlands.
Department of Pediatrics, Pediatric Intensive Care Unit, Erasmus Medical Center, Sophia Children's Hospital, 3015 GD Rotterdam, The Netherlands.
Diagnostics (Basel). 2019 Jan 15;9(1):11. doi: 10.3390/diagnostics9010011.
Tonsillectomy is a commonly performed surgery in the daily practice of an otorhinolaryngologist. For patients as well as health professionals, the best known complication is post-operative bleeding. Among the less noted, but potentially life-threatening, complications are the development of subcutaneous emphysema and the presence of bacteremia due to group A hemolytic streptococci. In this report, we describe a severely complicated clinical course after an uncomplicated adenotonsillectomy in a young boy. Increased awareness of relatively unknown complications after adenotonsillectomy amongst surgeons, pediatricians and anesthesiologists is desirable to facilitate rapid diagnosis and adequate treatment in order to prevent life-threatening situations.
扁桃体切除术是耳鼻喉科医生日常工作中常见的手术。对于患者和医疗专业人员来说，最广为人知的并发症是术后出血。在不太为人所知但可能危及生命的并发症中，有皮下气肿的发生以及A组溶血性链球菌引起的菌血症。在本报告中，我们描述了一名小男孩在进行简单的腺样体扁桃体切除术后出现的严重复杂临床过程。外科医生、儿科医生和麻醉师提高对腺样体扁桃体切除术后相对不为人知的并发症的认识，有助于快速诊断和适当治疗，以防止出现危及生命的情况。
