Hemostasis in Tonsillectomy

被引：19

作者：

Mitchell, Ryan M. ^{[1
]}

Parikh, Sanjay R. ^{[1
,2
]}

机构：

[1] Univ Washington, Dept Otolaryngol Head & Neck Surg, 1959 NE Pacific St,Box 256515, Seattle, WA 98195 USA

[2] Seattle Childrens Hosp, Div Pediat Otolaryngol Head & Neck Surg, 4800 Sand Point Way NE,OA 9-329, Seattle, WA 98105 USA

来源：

OTOLARYNGOLOGIC CLINICS OF NORTH AMERICA | 2016年 / 49卷 / 03期

关键词：

Tonsillectomy; Hemorrhage; Transfusion; Complication; Hemostasis; Tonsillotomy; VON-WILLEBRAND-DISEASE; HARMONIC SCALPEL TONSILLECTOMY; CHILDREN; HEMORRHAGE; COMPLICATIONS; ADENOIDECTOMY; HEMOPHILIA; MANAGEMENT; TRIAL; RISK;

D O I：

10.1016/j.otc.2016.03.008

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Tonsillectomy is a commonly performed procedure with an accepted risk of posttonsillectomy hemorrhage (PTH) approaching 5%, but catastrophic effects of hemorrhage are exceedingly rare. A variety of surgical techniques and hemostatic agents have been used to reduce the rate of hemorrhage, although none eliminate the risk. Numerous patient, surgical, and postoperative care factors have been studied for an association with PTH. The most consistent risk factors for PTH seem to be patient age and coagulopathies. Surgeon skill and surgical technique are most consistently associated with primary PTH.

引用

页码：615 / +

页数：14

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