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儿童腺样体扁桃体切除术的并发症。

Complications of adenotonsillectomy in pediatric age.

机构信息

Department of Otorhinolaryngology, General Hospital Macchi- ASST Settelaghi, Varese, Italy.

ENT Department, University Tor Vergata, Rome, Italy.

出版信息

Acta Biomed. 2020 Feb 17;91(1-S):48-53. doi: 10.23750/abm.v91i1-S.9256.

DOI:10.23750/abm.v91i1-S.9256
PMID:32073561
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7947737/
Abstract

Although in recent years adenotonsillectomy procedures have shown an overall reduction in number, this surgery continues to be the most frequently performed in our speciality, especially in pediatric age. The progressive improvement in both surgical techniques and devices and anaesthesia has made adenotonsillectomy a less risky manoeuvre, but this does not mean that it is free from potential adverse events or even an easy, routine and risk-free procedure, as presented by some para scientific literature and mass media. Here we address issues related to the complications that can arise when performing this surgical procedure, which can be very serious.

摘要

尽管近年来腺样体扁桃体切除术的数量总体呈下降趋势,但该手术仍是我们专业中最常进行的手术,尤其是在儿科。手术技术和设备以及麻醉的不断改进使得腺样体扁桃体切除术的风险降低,但这并不意味着它没有潜在的不良事件,甚至没有一些伪科学文献和大众媒体所描述的那样简单、常规和无风险。在这里,我们将讨论在进行这种手术时可能出现的严重并发症问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/548c/7947737/c1c5ece3c07e/ACTA-91-48-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/548c/7947737/06bfaa8885dd/ACTA-91-48-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/548c/7947737/c1c5ece3c07e/ACTA-91-48-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/548c/7947737/06bfaa8885dd/ACTA-91-48-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/548c/7947737/c1c5ece3c07e/ACTA-91-48-g002.jpg

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本文引用的文献

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Risk factors for pediatric post-tonsillectomy hemorrhage.小儿扁桃体切除术后出血的危险因素。
Int J Pediatr Otorhinolaryngol. 2016 May;84:151-5. doi: 10.1016/j.ijporl.2016.03.005. Epub 2016 Mar 18.
2
Grisel Syndrome Following Adenoidectomy: Surgical Management in a Case with Delayed Diagnosis.腺样体切除术后的格里斯尔综合征:一例延迟诊断病例的手术治疗
World Neurosurg. 2015 Nov;84(5):1494.e7-12. doi: 10.1016/j.wneu.2015.04.060. Epub 2015 May 7.
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Post tonsillectomy hemorrhage: who needs intervention?扁桃体切除术后出血:谁需要干预?
儿科阻塞性睡眠呼吸暂停治疗的创新。
Adv Exp Med Biol. 2022;1384:339-350. doi: 10.1007/978-3-031-06413-5_20.
4
Antimicrobial Prophylaxis in Neonates and Children Undergoing Dental, Maxillo-Facial or Ear-Nose-Throat (ENT) Surgery: A RAND/UCLA Appropriateness Method Consensus Study.接受牙科、颌面或耳鼻喉(ENT)手术的新生儿和儿童的抗菌药物预防:一项兰德/加州大学洛杉矶分校适宜性方法共识研究。
Antibiotics (Basel). 2022 Mar 13;11(3):382. doi: 10.3390/antibiotics11030382.
Int J Pediatr Otorhinolaryngol. 2015 Feb;79(2):165-9. doi: 10.1016/j.ijporl.2014.11.034. Epub 2014 Dec 8.
4
Invasive group A Streptococcus resulting in sepsis and abdominal wall abscess after adenotonsillectomy.侵袭性A组链球菌导致扁桃体腺样体切除术后败血症和腹壁脓肿。
Laryngoscope. 2015 May;125(5):1230-2. doi: 10.1002/lary.24997. Epub 2014 Nov 1.
5
Complications of adenotonsillectomy: a case report of meningitis due to dual infection with nontypeable Haemophilus influenzae and Streptococcus pneumoniae, and a prospective study of the rate of postoperative bacteremia.腺扁桃体切除术的并发症:一例由不可分型流感嗜血杆菌和肺炎链球菌双重感染导致脑膜炎的病例报告及术后菌血症发生率的前瞻性研究
Jpn J Antibiot. 2013 Aug;66(4):205-10.
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Post traumatic psuedoaneurysm of the lingual artery.创伤后舌动脉假性动脉瘤
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Risk factors for bacteremia during and after adenoidectomy and/or adenotonsillectomy.腺样体切除术和/或腺样体扁桃体切除术中及术后发生菌血症的危险因素。
J Infect. 2009 Feb;58(2):113-8. doi: 10.1016/j.jinf.2008.12.003. Epub 2009 Jan 7.
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Serious post-tonsillectomy hemorrhage with and without lethal outcome in children and adolescents.儿童和青少年扁桃体切除术后严重出血及有无致命后果的情况。
Int J Pediatr Otorhinolaryngol. 2008 Jul;72(7):1029-40. doi: 10.1016/j.ijporl.2008.03.009. Epub 2008 May 2.