扁桃体切除术可能有哪些并发症 周晓健 灌南县人民医院 скачать в хорошем качестве

扁桃体切除术可能有哪些并发症 周晓健 灌南县人民医院

扁桃体切除术可能有哪些并发症 周晓健 灌南县人民医院 1.出血：手术后24小时内的出血为原发性出血，较多见，多发生在术后6小时内，可能是手术欠细致，遗留残体或止血不彻底，或是麻醉剂中肾上腺素的血管收缩作用消失后血管扩张之故；也可能是原已出血的小出血点，因咽部活动，咳嗽或血压一时性增高等原因引起出血，缺乏维生素C，凝血酶元含量降低，天气骤然变化，也可促进术后出血。继发性出血，常发生于手术后5～6天，主要是白膜开始脱落时，因咽下硬食擦伤发生出血，若加注意可以防止。如属继发性感染性出血，则应加强处理，如抗感染等。2.伤口感染：病人抵抗力低下，术中无菌操作不严或术后出血可合并伤口感染。表现创面不生长白膜，或白膜污秽而不完整，咽部充血、肿胀、咽痛较重，有时伴有发热。应用足量抗生素及0.5～1%双氧水漱口。3.并发症：此外还可并发肺脓肿、支气管肺炎、肺不张、颈深部脓肿或蜂窝织炎、呼吸道异物等。 What are the possible complications of tonsillectomy 1. Bleeding: the bleeding within 24 hours after operation is primary bleeding, More often, Most of them occurred within 6 hours after operation, Maybe the operation was not meticulous, Residual body or incomplete hemostasis, Or the vasodilation after the vasoconstriction of adrenaline disappeared; It may also be a small bleeding spot, Because of pharyngeal activity, Bleeding due to coughing or temporary increase of blood pressure, Lack of vitamin C, Thrombin content decreased, The weather changed suddenly, It can also promote postoperative bleeding. Secondary bleeding, It usually occurs 5-6 days after operation, Mainly when the white membrane begins to fall off, Bleeding from a hard food bruise, If you pay attention, you can prevent it. In the case of secondary bleeding, It should be strengthened, Such as anti infection. 2. Wound infection: the patient's resistance is low, The wound infection can be caused by improper aseptic operation or bleeding after operation. There was no white membrane in the wound, Or the white membrane is dirty and incomplete, The pharynx is congested, swollen and sore, Sometimes accompanied by fever. Gargle with enough antibiotics and 0.5-1% hydrogen peroxide. 3. Complication: in addition, it may be complicated with pulmonary abscess, bronchopneumonia, atelectasis, deep neck abscess or cellulitis, foreign body in respiratory tract, etc.