全麻下扁桃体切除术出血原因及止血方法分析

Tonsillectomy under general anesthesia causes of bleeding and haemostasis analysis

目的:探讨扁桃体切除术出血原因及适当有效的止血方法。方法:对我院2004年1月-2009年11月间全麻下扁桃体切除术51例出血行止血后进行分析。结果:51例患者中有原发性和继发性出血,以纱球压迫止血成功5例,纱球压迫止血加电凝止血成功2例,腭咽弓、腭舌弓及扁桃体窝组织缝合止血成功15例,以带线纱球留置压迫止血成功29例。结论:扁桃体切除术后出血原因多,采用何种止血方法,关键在于止血方法必须适当有效。

Objective： To explore the reasons for tonsillectomy hemorrhage and appropriate and effective methods to stop bleeding. Methods： In our hospital in January 2004 - 2,009 year between November tonsillectomy under general anesthesia in 51 cases after the hemorrhage- line analysis of bleeding. Results： 51 patients, there are primary and secondary hemorrhage, the yam ball to the success of five cases of hemostasis, Yam ball plus electrocoagulation bemostasis hemostasis success in 2 cases , Pharyngeal arch, palate and tonsillar fossa lingual arch and the success of the organization suture hemostasis in 15 cases, in order to bring wire gauze ball retention hemostasis succeeded in 29 cases. Conclusion： Causes of bleeding after tonsillectomy and more, How to stop bleeding after tonsillectomy bleeding method, the key is to stop bleeding methods must be appropriate and effective