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为336例行扁桃体摘除术,术后出血18例,发生率5.36%,其中原发性出血16例,继发性出血2例,经全身应用止血药物、局部使用结扎、纱球压迫、前后弓缝合等均获止血。18例中伴有慢性肝胆疾病3例,于月经前2日及经期手术各1例,从事放射职业的医务人员2例,有风湿热发作史1例,炎性急症发作后1周内施术1例,扁桃体周围脓肿及低度恶性肿瘤各1例,无明显原因7例。提示术前需认真准备,掌握适应证和禁忌证,术中操作要轻柔,止血准确,术后严密观察,根据病情及药物的作用机制选用止血药物。
336 cases of tonsillectomy, postoperative bleeding in 18 cases, the incidence rate of 5.36%, of which 16 cases of primary bleeding, 2 cases of secondary bleeding, systemic application of hemostatic drugs, topical use of ligation, yarn ball compression, anteroposterior arch Stitched, etc. are bleeding. 18 cases were accompanied by chronic hepatobiliary disease in 3 cases, 2 days before menstruation and 1 case of menstrual surgery, 2 cases of medical staff engaged in radiation, rheumatic fever episode in 1 case, 1 week after the onset of inflammatory emergency operation 1 case, 1 case of peritonsillar abscess and low grade malignant tumor, 7 cases had no obvious cause. Prompt preoperative preparation, to master indications and contraindications, intraoperative procedures should be gentle, accurate bleeding, close observation after surgery, according to the disease and the mechanism of action of drug selection of hemostatic drugs.