摘要
目的对扁桃体切除术的临床资料归纳和总结, 探讨本手术的最佳适应症和最佳方法, 提出预防和减少手术出血的措施, 发生出血的处理; 探讨术后出现罕见的并发症———应激性胃出血的原因和处理方案, 并对扁桃体肿瘤的临床特点加以简介。方法复习原始资料, 包括病史和血液方面的各项检验。结果1000 例中原发出血20例 (术后4小时内), 继发出血1例 (术后3天); 并发应激性胃出血2例; 均经及时发现和正确处理而愈。确诊为恶性肿瘤8例。结论扁桃体切除术仍是耳鼻咽喉科最常做的手术之一, 术式的选择依患者年龄和局部情况以及术者得心应手的程度而定; 术后出血和并发症的问题, 只要认真做好病史采集和必要的化验检查, 严格掌握适应症, 术后密切观察, 出血等问题是可以迎刃而解的。
Objective To search for the optimal method for tonsillectomy by summing up corresponding clinical literature,and advance steps in prevention,less bleeding and bleeding treatment.The article also addresses causes and solutions of contingent gastritic bleeding,a rare variety of complication postoperation,and provides a brief description of features of tonsil tumour.Methods Original documents were reviewed,including patients' illness history and blood testing results.Results Out of the 1000 cases under study,there were 20 cases of primary bleeding(within four hours after operation),one case of secondary bleeding(three days after operation),and two cases of contingent gastritic bleeding,and all of them have been cured with timely identification and befitting treatment.Eight cases were diagnosed as malignant tumour.Conclusion Tonsillectomy is still the most common operation in ENT.Operation method is contingent on the patient's age and condition as well as the operator's skills.Bleeding after operation and complications can be significantly eliminated,or efficiently treated with careful study of patients' medical record,preliminary blood testing and close observation after operation.
出处
《福建医药杂志》
CAS
2005年第1期24-25,共2页
Fujian Medical Journal
