A CLINICAL STUDY OF HEMORRHAGE AFTER COBLATION TONSILLECTOMY AND ADENOIDECTOMY IN CHILDREN
Objective To investigate the causes of hemorrhage after coblation tonsillectomy and adenoidectomy in chil dren.Methods A retrospective analysis was performed for the clinical data of 1 120 children who underwent coblation tonsillectomy with or without adenoidectomy under general anesthesia,and among these children,840 underwent tonsillectomy combined with adenoidectomy and 280 underwent adenoidectomy alone.The incidence rates of primary and secondary hemorrhage after surgery,bleeding site,degree of bleeding,and cause of bleeding were analyzed.Results Of all children,41 (3.7％) experienced postoperative hemorrhage,among whom 9 had primary hemorrhage and 32 had secondary hemorrhage.Four children experienced primary hemorrhage after adenoidectomy;37 children experienced hemorrhage after tonsillectomy,among whom 5 had primary hemorrhage and 32 had secondary hemorrhage.Among the 41 children who experienced postoperative hemorrhage,6 had cry and scream,15 had improper eating habits,7 had postoperative infection and frequent cough,and 9 had no apparent trigger.Conclusion Hemorrhage after coblation tonsillectomy and adenoidectomy in children is associated with surgical technique,improper eating habits,postoperative nursing,postoperative infection,and frequent cough.
NETL
NSTL
万方数据
维普
