摘要
[目的]通过观察儿童全身麻醉或表面麻醉下行腺样体，及／或扁桃体切除术后血红蛋白含量的变化，评价患儿失血情况。[方法]35例扁桃体，及／或腺样体肥大患儿分别全身麻醉或表面麻醉下行扁桃体，及／或腺样体切除术，根据所施手术及麻醉情况分四组，记录手术前后血红蛋白（Hb）含量的变化值。[结果]所有全麻患者术后Hb含量均降低，其中腺样体切除组Hb的降低至0，1—1．8g／L，扁桃体切除组为0．1—0．4g／L，扁桃体及腺样体均切除者为0．3—1．8/L。表面麻醉下行扁桃体及腺样体切除者Hb的降低在0—0．3g／L。[结论]全身麻醉下行腺样体或扁桃体切除术，患儿痛苦小，病灶去除彻底，但需要注意患儿失血增多，必要时检测Hb含量的变化情况可提示医师如何治疗术后出血的患儿。
[ Objective] To estimate the blood losing after conducting tonsillectomy and/or adenotomy in children. [ Methods] Thirty -five cases suffering from hypertrophy of tonsil and/or adenoid vegetation were divided into 4 groups. They were conducted tonsillectomy or/and adenotomy under the condition of general anesthesia or local anesthesia respectively. The haemoglobin content was measured before and after operation. [ Results ] For those conducted general anesthesia, the decrease of haemoglobin contents in the group which was underwent tonsillectomy is range from 0.1 to 0.4 g/L,the group underwent adenotomy is 0.1 - 1.8 g/L, and in the group underwent both tonsillectomy and adenotomy is 0.3 - 1.8 g/L. The decrease of haemoglobin contents in the group underwent both tonsillectomy and adenotomy but under the condition of local anesthesia is 0 - 0.3 g/L. [ Conclutions] General anesthesia is beneficial to both the children and the doctors when conducting tonsillectomy and/or adenotomy, but more attention should be paid to the children during and after operation becaude they are more likely to lose blood.
出处
《大连医科大学学报》
CAS
2007年第6期566-567,570,共3页
Journal of Dalian Medical University
作者简介
刘璟（1970-），女，河北石家庄人，副主任医师。
