Lee W C, Sharp J F
Department of Otolaryngology, Manor Hospital, Walsall, UK.
J Laryngol Otol. 1996 Feb;110(2):136-40. doi: 10.1017/s0022215100132979.
A post-operative survey of 291 children was conducted to assess morbidity found at home in the first five days post-tonsillectomy. Analgesic requirement (92.4 per cent), signs of distress (90.4 per cent), otalgia (69.1 per cent), halitosis (66.7 per cent) were common. Physical or behavioural changes (36.8 per cent) and secondary haemorrhage (8.9 per cent) were also prominent features. Nausea was reported in 59 children (20.3 per cent) and delayed return to a normal diet which in turn predisposed to secondary haemorrhage. Return to normal diet was independent of pain. General Practitioners were consulted by 60.6 per cent and more than half were prescribed drugs. The presence of an organized clot in the tonsillar fossa (3.45 per cent) post-operatively did not delay discharge from hospital and none of these patients re-presented with secondary haemorrhage. Based on their child's experience in this study, only one third of the parents approved of day-case tonsillectomy in principle, a finding which has implications for the instigation of day-case tonsillectomy procedures.
对291名儿童进行了术后调查，以评估扁桃体切除术后头五天在家中出现的发病率。镇痛需求（92.4%）、痛苦迹象（90.4%）、耳痛（69.1%）、口臭（66.7%）很常见。身体或行为变化（36.8%）和继发性出血（8.9%）也是突出特征。59名儿童（20.3%）报告有恶心症状，且恢复正常饮食延迟，这反过来又易引发继发性出血。恢复正常饮食与疼痛无关。60.6%的患者咨询了全科医生，其中一半以上被开了药。术后扁桃体窝有组织性血凝块（3.45%）并不延迟出院，且这些患者均未再次出现继发性出血。根据他们孩子在本研究中的经历，只有三分之一的家长原则上赞成日间扁桃体切除术，这一发现对日间扁桃体切除手术的开展有一定影响。
