相关实验视频
Updated: Jan 17, 2026

05:07
CO2-Lasertonsillotomy Under Local Anesthesia in Adults
Published on: November 6, 2019
26.0K
对儿童桃体切除术后出血的观察与手术方法的分析
Joshua Verhagen1, Elle Nuttall2, Samuel Floren2
1University of Wisconsin School of Medicine and Public Health., Madison, Wisconsin, USA.
The Laryngoscope
|September 16, 2025
概括
一项针对小儿桃体切除术后出血 (PTH) 的新方案,仅提供凝块,减少了手术. 这种观察方法用于管理桃体切除术后的出血,有望改善护理质量.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科手术 儿科手术
- 紧急医疗 紧急医疗
背景情况:
- 桃体切除术后出血 (PTH) 是儿科患者经常出现的并发症.
- 对PTH的管理策略传统上涉及所有病例的立即手术干预 (OR),包括可见血块.
- 结果数据有限,需要对替代管理方法进行评估.
研究的目的:
- 为了比较一种保守的观察方法与儿科PTH立即手术干预的疗效并重新审视结果.
- 评估2018年推出的新协议的影响,保守地管理患有可见凝块但没有活跃出血的患者.
- 评估手术干预率的降低以及对患者治疗结果的影响.
主要方法:
- 在一个高等中心进行了一项回顾性队列研究,比较了协议实施前后的两段3年时间.
- 患有PTH的儿科患者 (<18岁) 提交到急诊室 (ED) 被分为前协议 (外科,n=86) 和后协议 (观察,n=134) 队列.
- 分析的结果包括手术干预率,需要手术的重复访问和住院时间,使用统计测试,如两样品t测试和费舍尔的精确测试.
主要成果:
- 后协议队列显示PTH发病率较高 (5.88%对比3.86%),但手术干预率明显较低 (26.87%对比54.65%).
- 患有可见血栓的患者中避免手术的比例在治疗后组大幅增加 (29.85%对比3.49%).
- 在重复访问导致手术或多次手术干预时没有发现显著差异;然而,治疗后的平均住院时间更长 (13.13小时 vs 9.25小时).
结论:
- 对于只有可见血块的儿科PTH患者,实施观察方法显著减少了手术干预的需要.
- 这种保守的策略似乎有效地减少了对桃体切除术后出血的不必要手术.
- 研究结果表明,这种方法可以提高患有PTH的儿科患者的护理质量.
相关概念视频
Tonsillitis II: Management
403
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
403
Suctioning the Nasopharyngeal Airway
3.0K
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
3.0K
Endoscopic Studies II: Thoracocentesis
1.3K
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
1.3K
Suctioning the Oropharyngeal Airway
812
In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
812

