低温等离子儿童扁桃体切除术后出血9例分析

摘要

Objective To investigate causes and prevention measures of postoperative hemorrhage after low-temperature plasma children tonsillectomy.Methods Among 342 children receiving low-temperature plasma tonsillectomy, there were 9 cases with postoperative hemorrhage. Their hemorrhage causes were analyzed to summarize prevention measures.Results Among 9 cases with postoperative hemorrhage, there were 1 case with primary hemorrhage and 8 cases with secondary hemorrhage; 2 cases with tonsil upper pole hemorrhage and 7 cases with tonsil lower pole hemorrhage; 7 cases with small hemorrhage and 2 cases with median hemorrhage. All cases were cured had discharged by different treatment measures.Conclusion Postoperative hemorrhage after low-temperature plasma children tonsillectomy is related with too much surrounding tissue damage, incomplete intraoperative hemostasis, postoperative infection and inappropriate diet. Median hemorrhage requires immediate surgical hemostasis under general anesthesia.%目的：探讨低温等离子儿童扁桃体切除术后出血的原因及预防方法。方法342例行低温等离子扁桃体切除术患儿中,9例发生术后出血,分析出血原因,总结预防方法。结果9例发生术后出血患儿中,原发性出血1例,继发性出血8例；扁桃体上极部出血2例,扁桃体下极部出血7例；小量出血7例,中量出血2例。经不同的方式处理后均痊愈出院。结论低温等离子儿童扁桃体切除术后出血与周围组织损伤过多、术中止血不彻底、术后感染及术后饮食不当有关,一旦发生中量出血,须果断采取全身麻醉下手术止血。