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首页> 美国卫生研究院文献>Indian Journal of Otolaryngology and Head Neck Surgery >Assessment of Operative Blood Loss and the Factors Affecting it in Tonsillectomy and Adenotonsillectomy
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Assessment of Operative Blood Loss and the Factors Affecting it in Tonsillectomy and Adenotonsillectomy

机译：扁桃体切除术和腺扁桃体切除术的手术失血量及其影响因素的评估

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摘要

To estimate the average operative blood loss in tonsillectomy and adenotonsillectomy and the various factors affecting it. A prospective study of estimation of blood loss in 100 patients who underwent tonsillectomy and adenotonsillectomy. Data collected included the age, sex, operative indication, clotting time, Hb levels and usage of pre-operative antibiotics. Cold knife dissection method for tonsillectomy and curettage method for adenoidectomy were used. Measurement by calorimetric method of estimation being simple and accurate was used for estimation. Study undertaken at a tertiary referral hospital catering to an urban, semi-urban and rural populace. Blood loss was more in males and increases as age advances both in adenotonsillectomy and tonsillectomy. Blood loss was more in fibrosed tonsils, at lower hemoglobin levels and at higher clotting times. It was less in cases who received pre-operative antibiotics. The average blood losses in males and females during tonsillectomy were 106.91 and 96.26 ml respectively. In adenotonsillectomy, the average blood losses in males and females were 81.44 and 76.82 ml respectively. In our series we found that blood loss in tonsillectomy and adenotonsillectomy depended on various factors like age, sex, the type of tonsillitis, method of dissection, hemoglobin concentration, clotting time and the use of antibiotics. All these factors must be taken into consideration while taking up patients especially those who cannot tolerate blood loss, for surgery.
机译：估计扁桃体切除术和腺扁桃体切除术的平均手术失血量以及影响其的各种因素。前瞻性研究评估100例行扁桃体切除术和腺扁桃体切除术的患者的失血量。收集的数据包括年龄，性别，手术适应症，凝血时间，血红蛋白水平和术前抗生素的使用。扁桃体切除术采用冷刀解剖法，腺样体切除术采用刮宫法。采用简单，准确的量热法进行估算。在针对城市，半城市和农村人口的三级转诊医院进行的研究。在腺扁桃体切除术和扁桃体切除术中，男性的失血更多，并且随着年龄的增长而增加。纤维扁桃体的出血量更多，血红蛋白水平较低，凝血时间较长。术前使用抗生素的病例较少。扁桃体切除术中男性和女性的平均失血量分别为106.91和96.26 ml。在腺扁桃体切除术中，男性和女性的平均失血量分别为81.44和76.82 ml。在我们的系列研究中，我们发现扁桃体切除术和腺扁桃体切除术的失血取决于年龄，性别，扁桃体炎的类型，解剖方法，血红蛋白浓度，凝血时间和抗生素使用等各种因素。在接纳患者，尤其是那些不能忍受失血的患者进行手术时，必须考虑所有这些因素。

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