Mutz I, Simon H
Kinderabteilung des Landeskrankenhauses Leoben.
Wien Klin Wochenschr. 1993;105(18):520-2.
During 14 years the department of otolaryngology at Leoben performed 7743 tonsillectomies and/or adenoidectomies in children in cooperation with the department of pediatrics. 97 patients were treated for postoperative bleeding = 1.25%; one child died as a consequence of severe bleeding. The analysis of age, timing and severity of the bleeding includes 15 additional children whose surgery had been performed elsewhere. Only 7 of the 112 bleeding episodes occurred during the first 24 hours after surgery. Most cases (18) occurred on the fifth postoperative day. The latest episode occurred on the 20th day after tonsillectomy. Because of severe blood loss, 18 patients received a blood transfusion. Despite pre- and postoperative coagulation tests no patient suffering from a coagulation disorder was identified. Neither the coagulation screening nor a 48 to 72 hour postoperative in hospital observation could prevent the risk of postoperative bleeding.
在14年的时间里，莱奥本耳鼻喉科与儿科合作，为儿童实施了7743例扁桃体切除术和/或腺样体切除术。97例患者因术后出血接受治疗，占1.25%；1名儿童因严重出血死亡。对出血的年龄、时间和严重程度的分析还包括另外15名在其他地方接受手术的儿童。112例出血事件中，只有7例发生在术后24小时内。大多数病例（18例）发生在术后第5天。最晚的出血事件发生在扁桃体切除术后第20天。由于失血严重，18例患者接受了输血。尽管进行了术前和术后凝血测试，但未发现有凝血障碍的患者。凝血筛查和术后48至72小时的住院观察都无法预防术后出血的风险。
