Hemorrhage risk factors assessment in pediatric patients undergoing adenoidectomy/adenotonsillotomy

Q4 Medicine

New Medicine Pub Date : 2017-05-08 DOI:10.25121/NEWMED.2017.21.2.39

Anna Gorzelnik, L. Zawadzka-Głos, A. Segiet, Karolina Raczkowska-Łabuda

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引用次数: 0

Abstract

Introduction. Hemorrhage is one of the most important complication of adenoidectomy (AT) and adenotonsillotomy (ATT) in children. The lack of hemostasis is an indication for Bellocq’s tamponade. Preoperative coagulation tests, complete blood count and blood type tests are taken to minimize the risk of bleeding after surgery. Material and methods. Data of 135 children with preoperative normal bleeding tests who underwent AT/ATT was collected. In study group (N = 41), postoperative hemorrhage requiring posterior nasal pack occurred. In the control group (N = 94), bleeding after AT/ATT resolved spontaneously and did not require nasal packing. Results. Hemorrhage was associated with older age. There was no relationship between hemorrhage and blood group, gender, type of the procedure and laboratory results obtained before the surgery. Conclusions. In our study, preoperative laboratory findings failed to effectively identify the patients at risk of hemorrhage after AT/ATT. However, a thorough medical interview and family history, as well as a detailed physical examination and laboratory testing might reveal bleeding disorders that had been asymptomatic. Keywords

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儿童腺样体切除术/腺扁桃体切开术患者出血危险因素评估

介绍出血是儿童腺样体切除术（AT）和腺扁桃体切除术（ATT）最重要的并发症之一。止血不足是Bellocq填塞的一个指征。术前进行凝血测试、全血细胞计数和血型测试，以最大限度地降低术后出血的风险。材料和方法。收集135例接受AT/ATT术前正常出血检查的儿童的数据。在研究组（N=41）中，术后出血需要后鼻塞。在对照组（N=94）中，AT/ATT后出血自行消退，不需要鼻腔填塞。后果出血与年龄较大有关。出血和手术前的血型、性别、手术类型和实验室结果并没有关系。结论。在我们的研究中，术前实验室检查结果未能有效识别at/ATT后有出血风险的患者。然而，彻底的医学访谈和家族史，以及详细的身体检查和实验室检测，可能会发现无症状的出血性疾病。关键词

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

New Medicine Medicine-General Medicine

CiteScore

0.10

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： - New Medicine is indexed in Index Copernicus (IC value 6.60) and registered in Embase/Excerpta Medica. - It is published in English and some issues in other languages. - New Medicine covers a broad spectrum of disciplines. - New Medicine is sent to national and medical libraries in several countries all over the world and to some libraries and institutions in Poland. It is also present on medical conferences. - New Medicine is published under the patronage of Polish Society of Health Education.