扁桃体术后出血的原因分析

发布时间：2018-02-26 09:40

本文关键词： 扁桃体切除术出血原因　出处：《临床耳鼻咽喉头颈外科杂志》2014年12期 　论文类型：期刊论文

【摘要】：目的:探讨扁桃体术后出血的常见原因,并提出相应的预防措施。方法:选取扁桃体切除术患者1 192例,根据其是否发生术后出血分为两组,对两组患者的基本资料和治疗情况进行统计学分析。结果:扁桃体术后出血者中成年、男性患者,合并高血压、肝脏疾病,术前长期服用阿司匹林,术前长期使用肾上腺皮质激素,局部麻醉,术中采取纱球压迫止血,术后剧烈咳嗽,不合理进食,以及围手术期存在焦虑情绪的患者所占比例明显高于未发生出血者,两组比较差异有统计学意义(P0.05)。而患者是否合并糖尿病对其术后出血影响不大(P0.05)。经Logistic回归分析,焦虑,合并高血压、肝脏疾病,使用纱球压迫止血,术后剧烈咳嗽以及不合理饮食都是患者发生扁桃体出血的原因(P0.05)。结论:扁桃体术后出血与多方面的因素密切相关,在临床工作中应给予针对性的预防。
[Abstract]:Objective: to investigate the common causes of postoperative hemorrhage of tonsil and to put forward the corresponding preventive measures. Methods: 1 192 cases of tonsillectomy were selected and divided into two groups according to whether the bleeding occurred after tonsillectomy or not. The basic data and treatment of the two groups were analyzed statistically. Results: adult patients, male patients, patients with hypertension, liver diseases, long-term preoperative aspirin, The proportion of patients with long term preoperative use of adrenocortical hormone, local anesthesia, gauze compression, severe cough after operation, unreasonable eating, and anxiety in perioperative period was significantly higher than that in patients without bleeding. The difference between the two groups was statistically significant (P 0.05). Whether the patients were complicated with diabetes had little effect on postoperative bleeding. By Logistic regression analysis, anxiety, hypertension, liver disease, and compression with gauze ball were used to stop bleeding. Severe cough and unreasonable diet were the causes of tonsillar hemorrhage. Conclusion: postoperative tonsillar hemorrhage is closely related to many factors and should be prevented in clinical work.
【作者单位】：商丘市第一人民医院耳鼻咽喉科;郑州大学第一附属医院耳科;
【分类号】：R766.9

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