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首页> 外文期刊>Journal of Clinical Medicine and Research >Hemostasis during cold dissection tonsillectomy: Comparing the use of adrenaline and normal saline
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Hemostasis during cold dissection tonsillectomy: Comparing the use of adrenaline and normal saline

机译：冷剥离扁桃体切除术中的止血：比较肾上腺素和生理盐水的使用

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Various hemostatic agents and techniques have been used to reduce intraoperative and postoperative hemorrhage in tonsillectomy. This study aims to compare the effect of using adrenaline and normal saline in maintaining hemostasis during cold dissection tonsillectomy. This is a prospective randomized single-blind study spanning fifty seven months in a private hospital setting in Jos, Plateau State, Nigeria. Thirty seven patients aged between 2 and 31 years had tonsillectomy consisting of 22 (59.5%) males and 15 (40.5%) females. The mean age of patients was 15.6 years (SD= ± 8.97). Recurrent tonsillitis (45.9%) was the commonest indication for surgery and obstructive sleep apnea was the commonest associated indication in 12 (32.4%) patients. In 12 (32.4%) patients, there was no associated indication for surgery. The mean time required to achieve hemostasis with the use of adrenaline soaked gauze compress was 3.84 min. (SD= ± 0.92) and with the normal saline soaked gauze compress was 4.15 min. (SD=± 0.81) with a difference of 0.31 min. There was no incidence of primary, reactionary or secondary hemorrhage. The local application of adrenaline as a topical hemostatic agent during tonsillectomies is effective in reducing intraoperative and postoperative hemorrhage and invariably reducing operative time with no significant side effects or complications.
机译：在扁桃体切除术中，已使用各种止血剂和技术来减少术中和术后出血。这项研究的目的是比较在冷解剖扁桃体切除术中使用肾上腺素和生理盐水维持止血的效果。这是一项前瞻性随机单盲研究，在尼日利亚高原州乔斯的一家私立医院进行，历时五十七个月。年龄在2到31岁之间的37例患者进行了扁桃体切除术，其中男性22例（59.5％），女性15例（40.5％）。患者的平均年龄为15.6岁（SD =±8.97）。复发性扁桃体炎（45.9％）是外科手术最常见的适应症，阻塞性睡眠呼吸暂停是12例（32.4％）患者最常见的相关适应症。在12名（32.4％）患者中，没有相关的手术指征。使用肾上腺素浸泡的纱布敷料达到止血所需的平均时间为3.84分钟。 （SD ＝±0.92）并且用生理盐水浸泡的纱布敷布为4.15分钟。 （SD =±0.81），相差0.31分钟。没有原发性，反应性或继发性出血的发生。扁桃体切除术中局部应用肾上腺素作为局部止血剂可有效减少术中和术后出血，并始终减少手术时间，且无明显副作用或并发症。

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