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术后出血是扁桃体手术常见并发症,该作者对1 049例扁桃体手术中4～11岁的841例进行分析,其中339例行挤切术,235例行剥离术。术前口服安替比林和阿托品,术后一般不用抗生素。术后出血情况:挤切组只有3例(4%)需结扎止血;全麻剥离组69例(19%)结扎止血,14例(5%)电凝止血;局麻剥离组26例(23%)结扎止血。挤切组较剥离组出血量明显少。两组病人术后出血时间多在术后2～4小时。7例严重出血病人中6例属全麻剥离组,其中3例需输血。挤切组无严重出血者。606例挤切术患者中576例于手术当天离院,而剥离
Postoperative bleeding is a common complication of tonsil surgery. The authors analyzed 841 patients aged 4 to 11 years in 1 049 tonsil surgeries, of whom 339 were crowded and 235 were dissected. Preoperative oral antipyrine and atropine, postoperative antibiotics generally do not. Postoperative bleeding: Only 3 patients (4%) in the crush group had to be stopped by ligation; 69 (19%) patients underwent total hemostasis and 14 (5% %) Ligation to stop bleeding. Squash group than the stripping group significantly less bleeding. Two groups of patients after bleeding time in 2 to 4 hours after surgery. Six of the seven patients with severe bleeding were in the group of general anesthesia, of whom 3 needed blood transfusion. Squash group without severe bleeding. Of the 606 crowded patients, 576 were expelled on the day of surgery and peeled off