量化"第二次检查"在儿科桃体切除术中检测隐性出血的有用性
Alexandra F Corbin1, David A Riccio1, Jeremy Walsh1
1Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, USA.
International journal of pediatric otorhinolaryngology
|October 14, 2025
概括
桃体切除术后的标准化第二次检查评估经常显示隐性出血需要额外的烧结. 这种简短的重新评估对于儿童桃体切除术的安全性至关重要.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科手术 儿科手术
- 外科手术的安全性
背景情况:
- 桃体切除术后出血是一种常见的并发症.
- 在结束手术之前确保足够的血液静止是至关重要的.
研究的目的:
- 量化在儿科桃体切除术中初始血液静止后进行标准化"第二次观察"评估的手术内效用.
- 为了确定在重新评估期间检测到的隐性出血的频率.
主要方法:
- 对126名接受桃体切除术的儿科患者 (2-18岁) 进行了回顾性观察性研究.
- 在初始血液静止后,进行了桃体穴的标准化"第二次检查".
- 主要结局是需要在"第二次观察"阶段进行额外的烧.
主要成果:
- 在"第二次查看"阶段,73.0%的病例需要额外的烧.
- 隐性出血是常见的,无论手术类型,患者年龄,适应症,外科医生水平或静血方法.
- 没有发现额外的烧伤和患者或程序因素之间存在显著的关联.
结论:
- 额外的高发烧率强调了儿科桃体切除术中隐性手术内出血的普遍性.
- 标准化的"第二次检查"评估是检测和管理未被检测到的出血在病例完成之前的重要一步.
- 这一简短的重新评估提高了儿科桃体切除手术手术的安全性.
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