Richmond K H, Wetmore R F, Baranak C C
University of Pennsylvania School of Medicine, Philadelphia.
Int J Pediatr Otorhinolaryngol. 1987 Aug;13(2):117-24. doi: 10.1016/0165-5876(87)90088-7.
Postoperative complications following a large series of adenotonsillectomies (784 patients) at the Children's Hospital of Philadelphia fell into two major categories: hemorrhage and airway problems. Bleeding requiring operative intervention occurred in one child in the immediate postoperative period and in 16 children (2.0%) within 7-10 days. Eight patients (1.0%) had minor bleeding requiring only observation, and 9 others (1.2%) reported mild bleeding at home. Airway obstruction requiring the reinsertion of an airway or intensive care observation occurred in 10 children (1.3%). In general, these children were younger and most had significant underlying medical problems. We conclude that many complications encountered after adenotonsillar surgery are intrinsic to the patient's disease and overall medical condition. Improved surgical and anesthetic techniques have minimized the complications noted in earlier studies.
在费城儿童医院进行的一系列大量腺样体扁桃体切除术（784例患者）后，术后并发症分为两大类：出血和气道问题。术后即刻有1名儿童发生需要手术干预的出血，7至10天内有16名儿童（2.0%）发生出血。8名患者（1.0%）有仅需观察的轻微出血，另有9名患者（1.2%）在家中报告有轻度出血。10名儿童（1.3%）发生需要重新插入气道或重症监护观察的气道阻塞。总体而言，这些儿童年龄较小，大多数有严重的基础疾病。我们得出结论，腺样体扁桃体切除术后遇到的许多并发症与患者的疾病和整体健康状况有关。改进的手术和麻醉技术已将早期研究中提到的并发症降至最低。
