报道增殖体扁桃体切除术严重意外5例,例1在全麻下行扁桃体切除术,血液流入下呼吸道窒息致死。例2因术中扁桃体挟持不牢,落入气管内窒息死亡。例3、例4均为普鲁卡因异常反应,1例抢救成功,1例死亡。例5为扁桃体切除术后作增殖体切除术,术后大出血,鼻咽部填塞后死亡。对发生意外之原因及防治作了讨论。 Reported five serious cases of proliferative tonsillectomy accident, Example 1 under general anesthesia tonsillectomy, blood flow to the lower respiratory tract asphyxiation. Case 2 due to intraoperative tonsil holding is not strong, fall into the trachea asphyxiation death. Example 3, Example 4 are procaine abnormal reaction, 1 case of successful rescue, 1 case of death. Example 5 for tonsillectomy for adenoidectomy, postoperative hemorrhage, nasopharyngeal packing after the death. The reasons for the accident and prevention were discussed.