Jakse R
Laryngol Rhinol Otol (Stuttg). 1981 Jul;60(7):345-50.
Hemorrhages after tonsillectomy and adenoidectomy are the most frequent lethal complications except of the mortality due to incidents of anaesthesia. A precise clinical, personal and family history regarding bleeding disorders must be taken. We preoperatively perform laboratory tests on each patient (Platelet count, PTT, Quick, Thrombintest, Fibrinogen, Bleeding Time) to detect possible bleeding disorders. Furthermore, we ask for previous medications, such as analgetics, sedatives and antiarthritics. A careful surgical technique for removal of tonsils and adenoids and meticulous hemostasis reduce the danger of postoperative bleeding. An exact control after the operation helps prevent serious complications.
扁桃体切除术和腺样体切除术后出血是除麻醉意外导致的死亡之外最常见的致命并发症。必须获取关于出血性疾病的精确临床、个人及家族病史。我们术前对每位患者进行实验室检查（血小板计数、部分凝血活酶时间、凝血酶原时间、凝血酶试验、纤维蛋白原、出血时间）以检测可能存在的出血性疾病。此外，我们会询问患者之前服用的药物，如镇痛药、镇静剂和抗关节炎药物。采用仔细的手术技术切除扁桃体和腺样体并进行细致的止血可降低术后出血的风险。术后进行精确的监测有助于预防严重并发症。
