AN AUDIT OF THE COMPLICATIONS OF PEDIATRIC TONSILLECTOMY, ADENOIDECTOMY AND ADENOTONSILLECTOMY

被引:66
作者
KENDRICK, D [1 ]
GIBBIN, K [1 ]
机构
[1] UNIV NOTTINGHAM HOSP,QUEENS MED CTR,DEPT OTOLARYNGOL,NOTTINGHAM NG7 2UH,ENGLAND
来源
CLINICAL OTOLARYNGOLOGY | 1993年 / 18卷 / 02期
关键词
TONSILLECTOMY; ADENOIDECTOMY; ADENOTONSILLECTOMY; DAY CASE; COMPLICATIONS;
D O I
10.1111/j.1365-2273.1993.tb00541.x
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Tonsillectomy, adenoidectomy and adenotonsillectomy are among the commonest surgical procedures undertaken in children. The notes of 413 consecutive children having tonsillectomy, adenoidectomy or adenotonsillectomy were analysed retrospectively to determine complication rates. Of the total number of children, 5.6% had at least one complication, the most common of which was haemorrhage occurring as a first complication in 3.9% (16 children). Three children with bleeding required active treatment (0.7%), one requiring transfusion and two requiring a return to theatre, all within 3 1/2 hours of operation. The incidence of reactionary bleeding was not associated with the grade or seniority of the surgeon. Six children (1.5%) developed a fever post-operatively, of which one required antibiotic treatment. On the basis of these results it is feasible for such procedures to be carried out on a day-care basis.
引用
收藏
页码:115 / 117
页数:3
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